Alcohol and Drug Use Screening among Justice-Involved Persons

IF 0.6 Q4 SUBSTANCE ABUSE Alcoholism Treatment Quarterly Pub Date : 2021-10-09 DOI:10.1080/07347324.2021.1972776

Spencer D. Bradshaw, Eugene W. Wang, S. Meeks, Kelly Chroback, Sarah Hirsch, Chloe Goad

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Abstract

ABSTRACT (a) Objective: This study examined the reliability and validity of the Texas Risk Assessment System (TRAS) alcohol and drug use screeners. (b) Method: We examined internal consistency, inter-item correlations, and used confirmatory factor analysis (CFA), and item response theory (IRT) to assess item-specific information regarding a single latent dimension of substance use severity. (c) Results: Results supported the TRAS alcohol and drug screeners to measure a single dimension of alcohol and drug use severity. More specifically, the instruments appear to be effective screeners of moderate to severe alcohol use problems, and thus effective screeners for referral for further assessment and possible treatment. (d) Conclusions: Treatment can only be provided for problems that are well defined and diagnosed. Continuing evaluation of substance abuse screeners and assessment is important, especially for justice-involved persons. Effective screeners can lead to more people getting needed assessment and treatment. Recommendations were to drop one item on each screener due to redundancy.

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司法人员的酒精和毒品使用筛查

摘要(a)目的:本研究检验了德州风险评估系统(TRAS)酒精和药物使用筛查的信度和效度。(b)方法:我们检查了内部一致性，项目间相关性，并使用验证性因子分析(CFA)和项目反应理论(IRT)来评估关于物质使用严重程度的单一潜在维度的特定项目信息。(c)结果:结果支持TRAS酒精和药物筛选人员测量酒精和药物使用严重程度的单一维度。更具体地说，这些工具似乎是中度至重度酒精使用问题的有效筛查者，因此是转诊进一步评估和可能治疗的有效筛查者。(d)结论:只能对明确界定和诊断的问题提供治疗。对药物滥用筛查和评估的持续评估是重要的，特别是对涉及司法的人。有效的筛查可以使更多的人得到所需的评估和治疗。由于冗余，建议在每个筛选器上删除一个项目。

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来源期刊

Alcoholism Treatment Quarterly SUBSTANCE ABUSE-

CiteScore

1.60

自引率

11.10%

发文量

期刊介绍： Alcoholism Treatment Quarterly is an exciting professional journal for clinicians working with persons who are alcoholic and their families. Designed to bridge the gap between research journals and information for the general public, it addresses the specific concerns of professional alcoholism counselors, social workers, psychologists, physicians, clergy, nurses, employee assistance professionals, and others who provide direct services to persons who are alcoholic. The journal features articles specifically related to the treatment of alcoholism, highlighting new and innovative approaches to care, describing clinical problems and solutions, and detailing practical, unique approaches to intervention and therapy.