ASI-MV Solutions: A Tailored Program for Substance Abusers in Early Recovery

描述（由申请人提供）：药物滥用研究表明：(1)解决与药物滥用和依赖相关的医疗和心理社会问题会带来更好的结果；(2)目前治疗时间较短，部分原因是医疗费用上升，而且在治疗期间难以有效解决这些问题，使得治疗后的医疗和社会心理（“综合”）服务至关重要；(3)辅导员可能缺乏有效整合这些服务的知识；(4)对这些服务的转介没有得到充分利用，客户可能缺乏动机、知识或技能来跟进转介。为了解决这些缺陷，我们建议开发ASI-MV解决方案，为客户提供量身定制的激励反馈和技能建设课程，以解决特定的社会心理和医疗问题领域。我们预计ASI- mv解决方案将有七个模块（酒精、药物、医学、精神病学、法律、就业和家庭），对应于ASI- mv的领域，ASI是一个在治疗环境中管理的ASI的网络交互式版本。在ASI-MV量表中严重程度得分高的药物滥用者将被引导到相应的互动课程和ASI-MV解决方案的当地资源。为了证明该方案概念的可行性，第一阶段的研究侧重于就业领域。所有的可行性标准都得到了满足，结果表明：(1)提议的内容是基于概念图的高度积极的发现，以及客户和专家的可用性和验收测试。潜在有效性和吸引力的评分很高。(2)可用性测试表明，该方案可被目标受众使用，技能和结果与目标受众相关，并且该方案被认为可能对治疗过程非常有帮助。我们超越了客户和专家的可行性基准。(3)我们的技术/设计团队制作了一个演示程序，该程序被关键利益相关者认为是高度可用和引人入胜的多媒体程序，并确定了在第二阶段制作完整程序所需的技术。在第二阶段，我们将开发ASI-MV解决方案的内容，完成ASI-MV解决方案项目，对项目进行实地测试，并对客户和咨询师进行项目的满意度和验收测试。

DESCRIPTION (provided by applicant): Substance abuse research indicates that: (1) addressing medical and psychosocial problems associated with substance abuse and dependence leads to better outcomes; (2) treatments are now shorter due in part to rising healthcare costs, and it is difficult to address these issues effectively during treatment, making medical and psychosocial ("wraparound") services following treatment essential; (3) counselors may lack the knowledge to effectively integrate these services; and (4) referrals to these services have been underutilized and clients may lack the motivation, knowledge, or skills to follow up with the referrals when they are made. To address these deficits, we are proposing the development of ASI-MV Solutions, which will provide tailored motivational feedback and skill-building lessons to clients to address specific psychosocial and medical problem areas. We expect that ASI-MV Solutions will have seven modules (Alcohol, Drugs, Medical, Psychiatric, Legal, Employment, and Family) corresponding to domains of the ASI-MV, a Web-enabled interactive version of the ASI administered in treatment settings. Substance abusers who have high severity scores on ASI-MV subscales will be directed to corresponding interactive lessons and local resources on ASI-MV Solutions. To demonstrate the feasibility of the program concept, the Phase I study focused on the Employment domain. All feasibility criteria were met and findings indicated: (1) Proposed content was based on highly positive findings from concept mapping, as well as usability and acceptance testing with clients and experts. Ratings of potential effectiveness and appeal were high. (2) Usability testing indicated that the program was usable by the target audience, the skills and outcomes were relevant to the target audience, and the program was regarded as potentially very helpful to the treatment process. We surpassed feasibility benchmarks for both clients and experts. (3) Our technical/design team produced a demonstration program that was perceived by key stakeholders as highly usable and engaging multimedia program, as well as determining the necessary technologies to produce the complete program in Phase II. In Phase II we will develop ASI-MV Solutions content, complete the ASI-MV Solutions program, field test the program, and conduct satisfaction and acceptance testing of the program with clients and counselors. PUBLIC HEALTH RELEVANCE: Making referrals to medical and psychosocial services for substance abuse clients has proven difficult due to lack of access to services, inadequate counselor knowledge, and lack of motivation and skills among clients. Inflexion is proposing the development of ASI-MV Solutions, which will educate clients about employment, legal, psychiatric, relapse prevention, medical, and family issues, as well as include resources and strategies for counselors. By linking learning modules to client results on the ASI-MV, an online interactive version of the ASI administered in treatment settings, we will be able to offer clients important tools to address key recovery issues and encourage counselors to make appropriate referrals to medical and psychosocial services.