National Institute on Alcohol Abuse and Alcoholism

ASSESSING ALCOHOL
PROBLEMS

A Guide for Clinicians and Researchers Second Edition

Editors: John P. Allen, Ph.D. Veronica B. Wilson

U.S. Department of Health and Human Services Public Health Service National Institutes of Health National Institute on Alcohol Abuse and Alcoholism 5635 Fischers Lane, MSC 9304 Bethesda, MD 208929304

NIH Publication No. 033745 Revised 2003

The material contained in this publication was provided by the chapter authors and does not necessarily represent the opinions, official policy, or position of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) or any other part of the Department of Health and Human Services.

COPYRIGHT STATUS NIAAA has obtained permission from the authors and/or copyright holders to reproduce all of the instruments appearing in this volume. Further reproduction of the instruments identified as copyrighted in the text is prohibited without specific permission of the copyright holders. Before reprinting, readers are advised to determine the copyright status of the instruments or to secure the permission of the authors and/or copyright holders. All other material in this volume is in the public domain and may be used or reproduced without permission from the Institute or the authors. Citation of the source is appreciated. The U.S. Government does not endorse or favor any specific commercial product or company. Trade, proprietary, or company names appearing in this publication are used only because they are considered essential in the context of the studies reported herein.

Acknowledgments

The following panel members expended tremendous effort in reviewing and selecting instruments for inclusion, writing and critiquing chapters, and offering valuable advice on the form and content of the volume. The quality of the finished product reflects their professionalism, commitment, and energy.

Panel Members
Gerard J. Connors, Ph.D.
Research Institute on Addictions
University at Buffalo
Buffalo, New York
Dennis M. Donovan, Ph.D.
Alcohol and Drug Abuse Institute, and
Department of Psychiatry and
Behavioral Sciences University of Washington Seattle, Washington John W. Finney, Ph.D.
Center for Health Care Evaluation
Department of Veterans Affairs and
Stanford University Medical Center
Palo Alto, California
Stephen A. Maisto, Ph.D., ABPP (Clinical)
Syracuse University
Syracuse, New York
Pekka Sillanaukee, Ph.D.
Tampere University Hospital, Research Unit,
and Tampere University, Medical School
Tampere, Finland
Linda C. Sobell, Ph.D., ABPP
Nova Southeastern University
Ft. Lauderdale, Florida
Stephen T. Tiffany, Ph.D.
Purdue University
West Lafayette, Indiana
J. Scott Tonigan, Ph.D.
Center on Alcoholism, Substance
Abuse and Addictions (CASAA) Albuquerque, New Mexico Robert J. Volk, Ph.D. Baylor College of Medicine Houston, Texas Ken C. Winters, Ph.D. Department of Psychiatry University of Minnesota Minneapolis, Minnesota

NIAAA Staff
John P. Allen, Ph.D., M.P.A.
Scientific Consultant to NIAAA
Raye Z. Litten, Ph.D.
Chief, Treatment Research Branch
Division of Clinical and
Prevention Research Joanne B. Fertig, Ph.D. Psychologist Veronica B. Wilson Handbook Coordinator Octavia T. Weatherspoon Assistant Coordinator

iii

Contents

Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Abbreviations and Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Introduction.. . . . . . . . . . . . . xi John P. Allen Overview Assessment of Alcohol Problems: An Overview . . . . . . . . . . . . . . . . . . . . . . . 1 John P. Allen Quick-Reference Instrument Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Screening Self-Report Screening for Alcohol Problems Among Adults. . . . . . . . . . . . . 21 Gerard J. Connors and Robert J. Volk Biomarkers of Heavy Drinking. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 John P. Allen, Pekka Sillanaukee, Nuria Strid, and Raye Z. Litten Diagnosis Diagnosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Stephen A. Maisto, James R. McKay, and Stephen T. Tiffany Assessment of Drinking Behavior Alcohol Consumption Measures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Linda C. Sobell and Mark B. Sobell Adolescent Assessment
Assessment of Alcohol and Other Drug Use Behaviors
Among Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Ken C. Winters
Treatment Planning Assessment To Aid in the Treatment Planning Process . . . . . . . . . . . . . . . . 125 Dennis M. Donovan Treatment and Process Assessment Assessing Treatment and Treatment Processes. . . . . . . . . . . . . . . . . . . . . . . 189 John W. Finney Outcome Evaluation Applied Issues in Treatment Outcome Assessment . . . . . . . . . . . . . . . . . . . 219 J. Scott Tonigan Appendix Fact Sheets and Sample Instruments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235 Index of Instruments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 667