Table Of Content

DOCUMENT RESUME ED 340 960 CG 023 915 AUTHOR Rahdert, Elizabeth R., Ed. TITLE The Adolescent Assessment/Referral System Manual. INSTITUTION Pacific Inst. for Research and Evaluation, Bethesda, MD.; Westover Consultants, Inc., Washington, DC. SPONS AGENCY National Inst. on Drug Abuse (DHHS/PHS), Rockville, Md. PUB DATE 91 CONTRACT 271-87-8225; 271-89-8252 NOTE 124p. PUB TYPE Guides - Non-Classroom Use (055) -- Tests/Evaluation Instruments (160) EDRS PRICE MF01/PC05 Plus Postage. DESCRIPTORS *Adolescents; *Evaluation Methods; Information Sources; Referral; Young Adults; *Youth Problems ABSTRACT The .goal of the Adolescent Assessment/Referral System (AARS) project was to identify, collect, and organize all the appropriate materials associated with assessment and treatment referral for troubled youth 12 through 19 years of age. This document discusses the components of the AARS. After an introduction to the AARS, the structure and function of the AARS are described. In this section the 10 potentially problematic functional areas represented in each component of the AARS are listed: Substance Use/Abuse; Physical Health Status; Mental Health Status; Family Relations; Peer Relations; Educational Status; Vocational Status; Social Skills; Leisure and Recreation; and Aggressive Behavior and Delinquency. The next section describes the Problem Oriented Screening Instrument for Teenagers (POSIT), an instrument designed to identify problems in need of further assessment. The next section describes the Comprehensive Assessment Battery, a group of instruments which should be used when the POSIT has indicated that there is a possible problem. The last section outlines steps in the development of the Directory of Adolescent Services, a directory intended for use by practitioners who work with adolescents and require information about a broad range of provider services. It is noted that by developing a local or regional directory practitioners and administrators gain an increased familiarity with the array of resources available for addressing the medical, psychiatric, educational, and psychosocial needs of troubled adolescents. The instruments used with the AARS are included. (ABL) *********************************************************************** Reproductiors supplied by EDRS are the best that can be made from the original document. ********************************************************************** Abuse National Institute on Drug THE ADOLESCE\T ASSESSIVE\TREFERAL SYSTEN/ MA UAL U.S. DEPARTMENT OF EDUCATION Office of Educational Research and improvemeni EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) This document has been reproduced as received from the person or organitalion originating it r Minor changes have been made to improve reproduction qualify Points of view or opinions staled in this doc u ment do not necessarily represent official OE RI position or policy AND HUMAN SERVICES U.S. DEPARTMENT OF HEALTH Public Health Service Health Administration Alcohol, Drug Abuse, and Mental AVAILABLE COPY 3EST THE ADOLESCENT ASSESSMENT/REFERRAL SYSTEM MANUAL Editor Elizabeth R. Rahdert, Ph.D. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Alcohol, Drug Abuse, and Mental Health Administration National Institute on Drug Abuse 5600 Fishers Lane Rockville, MD 20857 P. 3 ADOLESCENT ASSESSMENTIREFERRAL SYSTEM The Adolescent Assessment/Referral System was developed for the National Institute on Drug Abuse by Westover Consultants, Inc., 500 E Street, S.W., Suite 910, Washington, D.C., 20024, under contract number 271-87-8225, and by the Pacific Institute for Research and Evaluation, 7315 Wisconsin Avenue, Suite 900 East, Bethesda, MD 20814, under contract number 271-89-8252. DHHS Publication No. (ADM)91-1735 Alcohol, Drug Abuse, and Mental Health Administration ! Printed 1991 ADOLESCENT ASSESSMENTIREFERRAL SYSTEM CONTENTS page PREFACE iii ROSTER OF CONTRIBUTORS CHAPTER 1 - INTRODUCTION 1 CHAPTER 2 - STRUCTURE AND FUNCTION OF THE ADOLESCENT ASSESSMENT/REFERRAL SYSTEM 3 CIIAPTER 3 - PROBLEM ORIENTED SCREENING INSTRUMENT FOR TEENAGERS 5 OVERVIEW OF THE POSIT 5 MATERIALS 5 THE LOGIC OF POSIT SCORING 5 PRELIMINARY DATA ON THE POSIT.. 6 ADMINISTERING ME POSIT 8 SCORING ME POSIT 8 CHAPTER 4 - COMPREHENSIVE ASSESSMENT BATTERY 10 FUNCTIONAL AREA I: SUBSTANCE USE/ ABUSE 11 FUNCTIONAL AREA II: PHYSICAL HEALM STATUS 13 FUNCTIONAL AREA III: MENTAL HEALTH STATUS 14 FUNTIONAL AREA IV: FAMILY RELATIONS 16 FUNCTIONAL AREA V: PEER RELATIONS. 18 FUNCTIONAL AREA VI: EDUCATIONAL STATUS 20 F. ADOLESCENT ASSESSMENTIREFERRAL SYSTEM page FUNCTIONAL AREA VII: VOCATIONAL 22 STATUS FUNCTIONAL AREA VIII: SOCIAL 24 SKILLS FUNCTIONAL AREA IX: LEISURE AND 26 RECREATION FUNCTIONAL AREA X: AGGRESSIVE 28 BEHAVIOR/DELINQUENCY CHAPTER 5 - GUIDE TO THE PREPARATION OF A DIRECTORY OF ADOLESCENT 30 SERVICES 32 ATTACHMENTS Problem Oriented Screening Instrument for Teenagers (POSIT) - English Version Problem Oriented Screening Instrument for Teenagers (POSIT) - Spanish Version POSIT Scoring Templates - English and Spanish POSIT Scoring Sheets - English and Spanish Client Personal History Questionnaire - English Version Client Personal History Questionnaire - Spanish Version Physician Report Form Physical Activity Assessment National Youth Survey Delinquency Scale Adolescent Services Matrix Provider Questionnaire Provider Information Form ii 6 ADOLESCENT ASSESSMENT/REFERRAL SYSTEM PREFACE Finally, what appeared to be the third logical step the ADOLESCENT The development of in an assessment-referral process, that is providing ASSESSMENT/REFERRAL SYSTEM was specific recommendations for matching diagnostic undertaken by the National Institute on Drug Abuse profiles with different therapeutic programs, proved in April of 1987. The aim of the project was to unwise at this point in time. Any such prescription identify, collect, and organize all the appropriate would, at most, be based on insufficient scientific materials associated with assessment and treatment evidence. However, "matching" teenagers to the referral for troubled youth 12 through 19 years of program requires that one has access to best age. clinically useful information about the widest variety As existing directories of adolescent services. Earlier, efforts to address adolescent assessment appeared too narrow in scope, suggestions on and referral issues had focused mainly, and materials to be included seemed appropriate. sometimes exclusively, on teenagers' use of drugs But recently there has been a and/or alcohol. Following is a summary of the work that has so far growing awareness among clinicians, teachers, been accomplished in the development of what has juvenile court authorities, parents and others that come to be known as the ADOLESCENT youth heavily involved with illicit drugs have ASSESSMENT/REFERRAL SYSTEM: multiple problems associated with that involvement. This awareness suggested that an adolescent Identification of all possible functional areas which assessment/referral system should target a large the literature and clinical practice suggest are number of functional areas for evaluation in order most affected by or associated with an adolesce nt' s that the broadest range of therapeutic options could drug abuse, and the selection of an Expert Clinician be considered if optimal treatment plans were to be Researcher in each identified functional area. selected. Development of the PROBLEM ORIENTED On this basis a wide range "problem screen," rather SCREENING INSTRUMENT FOR than a "drug screen" only, formed the first logical TEENAGERS (POSIT) through Expert Clinician step in an adolescent assessment-referral process. Researcher nomination of 10 to 20 problem As no multiple problem screen suitable for screening items related to the functional area in adolescents was available, such a tool had to be which he or she is an expert. They were also asked designed. to assist in the development of a scoring system for the POSIT,with scores to be based on their clinical The second logical step in the process required judgement. more in-depth assessment if each individual teenager was to be matched to a comprehensive program of the COMPREHENSIVE Compilation that was most appropriate. To meet this demand, ASSESSMENT BATTERY through Expert diagnostic instruments related to each functional Clinician Researcher nomination of one or two area represented on the multiple problem screen state-of-the-art assessment instruments in his or had to be identified. her area of expertise. They also provided references to support each instrument' s psychometric properties and clinical utility. , 7 ADOLESCENT ASSESSMENTIREFERRAL SYSTEM POSIT Pretest of the on approximately 1000 Construction of the Guide to the preparation of a DIRECTORY OF ADOLESCENT SERVICES, adolescent abusers and non-abusers in order to POSIT scores to distinguish the Guide' s materials developed through a survey assess the ability of the between these two groups of adolescents. of available treatment, rehabilitation, and education directories, and through contact with the Expert POSIT national professional Clinician Translation of the into Spanish. Researchers, associations, and accrediting organizations. The work to date has resulted in a prototype of the Review of the prototype ADOLESCENT ASSESSMENT/REFERRAL ADOLESCENT SYSTEM which is presented in the Manua/. A ASSESSMENTIREFERRAL SYSTEM by Expert three-year field study currently underway will Clinical Practitionem, convened to critique and psychometric establish validational and the suggest revisions. properties necessary to allow components of the POSIT SYSTEM to fully realize their potential as tools on teenage focus groups in Pretest of the order to review wording, understandability, and for adolescent alcohol and other drug abuse treatment planning. acceptability of screening items. Elizabeth R. Rahdert, Ph. D. Editor National Institute on Drug Abuse iv ADOLESCENT ASSESSMENT1REFERRAL SYSTEM ROSTER OF CONTRIBUTORS The National Institute on Drug Abuse gratefully acknowledges that the contents of the ADOLESCENT ASSESSMENT/REFERRAL SYSTEM depended heavily on the professional experiences, contribu- tions, and thoughtful critiques of many Expert Clinical Researchers and Expert Clinical Practitioners concerned with the well-being and treatment of troubled adolescents. Hoover Adger, M.D. Richard Dembo, Ph.D. The Johns Hcpkins University Hospital University of South Florida Baltimore, Maryland Tampa, Florida John Allen, Ph.D. Michael Dunham, M.S.W. National Institute on Alcohol Abuse and Harundale Youth and Family Service Center, Inc. Alcoholism Glen Burnie, Maryland Rockville, Maryland Arthur Alterman, Ph.D. Carol Garrett, Ph.D. University of Pennsylvania Colorado Department of Institutions Philadelphia, Pennsylvania Denver, Colorado George Bailey, M.D. Barbara Geller, M.D. Children's National Medical Center William S. Hall Psychiatric Institute Washington, D.C. Columbia, South Carolina Daryl Blue James Greenan, Ph.D. Northeast High School Purdue University Lincoln, Nebraska West Lafayette, Indiana John Boston, M.A. Victor Hesselbrock, Ph.D. Montgomery County Department of Addiction University of Connecticut Victim, and Mental Health Services Farmington, Connecticut Rockville. Maryland Don Bougger, M.A. Ronald Iannotti, Ph.D. Pound Junior High School Georgetown University Lincoln, Nebraska Washington, D.C. Brenna Bry, Ph.D. Theodore Jacob, Ph.D. Rutgers University University of Arizona Piscataway, New Jersey Tucson, Arizona Michael Castleberry, Ph.D. Jeannette Johnson, Ph.D. George Washington University National Institute on Drug Abuse Washington, D.C. Rockville, Maryland SYSTEM ADOLESCENT ASSESSMENT/REFERRAL Ken Pompi, Ph.D. Deborah Jones-Saumty, M.S. Abraxas Group Foundation, Inc. State of Oklahoma Department of Mental Health Pittsburgh, Pennsylvania Oklahoma City, Oklahoma Bennett Prieto, Ph.D. Michael Klitzner, Ph.D. Private clinical practice Pacific Institute for Research and Evaluation, Inc. Olney, Maryland Bethesda, Maryland John Reid, Ph.D. Ellen Chereskin Klossen, Ph.D. Oregon Social Learning Center, Inc. Taylor Manor Hospital Eugene, Oregon Ellicott City, Maryland Arturo Rio, Ph.D. Irma Lann, M.S. Miami University Spanish Family National Institute of Mental Health Guidance Center Rockville, Maryland Miami, Florida Jack Sarmanion, A.C.S.W. Janice Levy, M.D. Advocates for Human Potential, Inc. Harvard University School of Public Health Sudbury, Massachusetts Cambridge, Massachusetts Robert Shearer, M.D. Gerald Lumsden, Ph.D. Walter Reed Army Medical Center Department of Health and Human Services Silver Spring, Maryland Dallas, Texas Naomi J. Siegel, M.S.W. Thomas McLellan, Ph.D. Private clinical practice University of Pennsylvania Los Angeles, California Philadelphia, Pennsylvania John Sikorski, M.D. David Metzger, Ph.D. Langley Porter Neuropsychiatric Institute University of Pennsylvania San Francisco, California Philadelphia, Pennsylvania Ann Sparrough 0. Lee McCabe, Ph.D. Fourth Judicial Circuit Juvenile Court Psychological Science Institute, Inc. Upper Marboro, Maryland Baltimore, Maryland Ralph Tarter, Ph.D. Rod Mullen University of Pittsburgh Medical School Amity, Inc. Pittsburgh, Pennsylvania Tucson, Arizona Juliana Taymans, Ph.D. Joseph Palombi, M.D. George Washington University Family Counseling Centers, Inc. 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