The
Adolescent Chemical Dependency Inventory (ACDI) is designed for
assessing troubled youths in school settings and in counseling or treatment
programs. The ACDI is objective, straightforward and easily understood.
Specific intervention, counseling and treatment recommendations are provided in
ACDI reports. The ACDI has 105 items and takes 15 to 20 minutes to complete. It
has five scales (measures):
1.
Truthfulness Scale
2.
Adjustment Scale
3.
Distress Scale
4.
Alcohol Scale
5. Drugs Scale
The ACDI is a short, non-offensive self-report test that obtains
a lot of important information quickly.
APPLICATIONS
** Adolescent Chemical Dependency Inventory **
Juvenile assessment in school systems and troubled youth
programs.
Intake screening in juvenile counseling and treatment programs.
Assist in identifying appropriate intervention, counseling or
treatment alternatives.
Juvenile substance (alcohol and other drugs) abuse intake
screening.
Description
The ACDI has 105 items and takes on average 15 to
20 minutes to complete. It is an automated (computer-scored) self-report test
for juvenile (14 to 17 years) assessment. The ACDI screens substance (alcohol
and other drugs) use and abuse, overall adjustment and troubled youth concerns.
Five ACDI Measures (Scales)
Truthfulness Scale: Measures
the truthfulness of the youth while completing the test. This scale identifies
defensive youths that minimize their problems or even try to fake good.
Alcohol Scale: Measures
the severity of alcohol use and abuse. Alcohol refers to beer, wine and other
liquor.
Drugs Scale:
Measures illicit drug use and the severity of abuse. Drugs refer to
marijuana, crack, cocaine, amphetamines, barbiturates and heroin.
Adjustment Scale:
Measures home, school and relationship adjustment. Quality of peer,
family and authoritarian relationships are also explored.
Distress Scale: Measures
anxiety and depression. The term dysthymic combines symptoms of anxiety and
depression in the same disorder.
* * * * *
Two ACDI
Versions
There are two versions of the ACDI:
1. ACDI and 2.
ACDI-Corrections Version II. Each version will be briefly described so the test
reviewer can select the version that will best meet their needs.
The Adolescent Chemical Dependency Inventory, or
ACDI, is described above, and this is the ACDI webpage. An example ACDI report
is presented at the end of this webpage for review.
The ACDI-Corrections Version II is designed for
juvenile court, probation department and drug court use. Version II has a
Violence (Lethality) Scale. Version II has 140 items and takes 25 to 30 minutes
to complete. And, Version II has seven scales:
1. Truthfulness Scale, 2. Violence
(Lethality) Scale, 3.
Adjustment Scale, 4. Distress Scale,
5. Alcohol Scale, 6. Drugs
Scale and 7. Stress Coping Abilities
Scale. The ACDI-Corrections Version II has a Violence (Lethality) Scale.
ACDI test booklets are provided free. These
booklets contain 105 items and are written at a 5th to 6th
grade reading level. If a person can read the newspaper, they can read the
ACDI. It takes 15 to 20 minutes to complete the ACDI. These test booklets are
available in English and Spanish.
ACDI Reports
In brief, ACDI reports summarize the youth's
self-reported history, explain what attained scale scores mean and offer
specific score-related recommendations.
ACDI tests are administered, scored and reports
are printed on-site. Within 2½ minutes from test data entry, automated
(computer-scored) 3-page reports are available on-site. These reports summarize
a wealth of information in an easily understood format. For example, these
reports include an ACDI profile (graph), which summarizes juvenile findings at
a glance. Also included are explanations of what each score means and specific
score-related recommendations. Significant items (direct admissions) are
highlighted and answers to the built-in interview (the last sequence of
multiple choice items) are presented. Emphasis has been placed on having
meaningful reports that are helpful and easily understood. An ACDI
example report is presented at the end of this webpage.
Advantages of Screening
Screening and assessment instruments filter out
individuals with serious problems that may require referral for a more
comprehensive evaluation and/or treatment. This filtering system works as
follows.
ACDI
RISK RANGES
Risk Category
Risk Range
Percentile
Total
Percentage
Low Risk
0 - 39%
39%
Medium Risk
40 - 69%
30%
Problem Risk
70 - 89%
20%
Severe Problem
90 - 100%
11%
Reference to the above risk range table shows that
a problem is not identified until a scale score is at the 70th percentile
or higher. These risk range percentiles are based upon the thousands of
troubled youths that have taken the ACDI. This procedure is eminently fair and
it avoids both extremes, i.e., over-identification and under-identification of
problems.
A court, department or agency's policy might refer
juveniles with severe problems for further evaluation or treatment. In that
case, 11% of the people screened (Severe Problem) would be referred. In this
example, 89% of the people screened would not be referred for additional (and
expensive) services.
Budgetary savings
(dollars) would be large with no compromises in needy juveniles receiving
appropriate evaluation and/or treatment services. Indeed, more needy juveniles
would receive help. Without a screening program, there is usually more risk of
over or under-utilization of additional professional services.
ACDI Software
The ACDI is available in Windows formatted test
diskettes. Windows diskettes require a simple one-time computer setup procedure
after which ACDI data (25 or 50 test applications) diskettes are used.
Training manuals are provided free, and new test
users can be walked through these procedures over Behavior Data Systems, Ltd.
(BDS) telephone line.
Proprietary ACDI data diskettes contains 25 or 50
test applications. These 3½" diskettes score, interpret and print ACDI reports
on-site. Once an ACDI account is established, ordered diskettes are mailed to
users. When all test applications are used, diskettes are returned to Behavior
Data Systems where the test data and demographics are downloaded into the ACDI
database for subsequent research analysis. The proprietary "delete names"
program is activated by test users with a few keystrokes to delete all names
from the diskettes before they are returned to Behavior Data Systems. Deleting
all client names insures juvenile confidentiality and compliance with HIPAA
(federal regulation 45 C.F.R. 164.501).
ACDI Database
The ACDI system contains a proprietary database.
Earlier, it was noted that all ACDI used diskettes are returned to Behavior
Data Systems, and the test data along with related demographics are downloaded
into the ACDI database. This expanding database allows ongoing research and
testing program summary capabilities that were not possible before. Ongoing
research insures quality control. Test program summaries provide program
self-evaluation.
Built-In Database
The built-in database permits ongoing research and
annual program summary at no additional cost. When the 25 or 50 tests on a
diskette are used, that diskette is returned to Behavior Data Systems and
downloaded into the ACDI database. Advantages of a built-in database are many
and include database (research) analysis and the provision of annual summary
reports. The ACDI is restandardized annually on a state-by-state basis at no
additional cost to users.
No personal information, names, social security numbers, etc. are ever
downloaded into any test database.
In summary, having all used ACDI tests' data
centrally filed at Behavior Data Systems' offices in the ACDI database has many
advantages. Database analysis permits ongoing cost efficient research that
includes scale alpha coefficients, frequency distributions, correlations,
ANOVA, cross-tab statistics along with reliability, validity and accuracy
determinations.
After downloading test data returned diskettes are destroyed.
Annual Summary Reports
Behavior Data Systems
can access each of its tests' built-in databases for statistical analysis and
summarization of all tests administered in a year. Annual Summary Reports are
prepared for state, department, agency and even some individual providers -- at
no cost to them. These reports are provided as a professional courtesy to large
volume test users. Summary reports include demographics, court-history when
relevant, and test statistics (reliability, validity and accuracy). Has anyone
offered to summarize your testing program? Annually? At no additional cost to
you? Minimum testing volume for annual reports is 350 tests. There is no
maximum limit. BDS's annual reports range in size from 350 tests to over 55,000
tests annually. An example Annual Summary Report can be viewed by clicking on
this Annual Summary Reports link.
Reliability and Validity
The ACDI has a built-in database that insures
inclusion of all administered tests in a confidential (no names) manner. And,
these reliability, validity and accuracy statistics are reported in the
document titled "ACDI: An
Inventory of Scientific Findings." Database analysis continues to
demonstrate that ACDI scales maintain very high reliability coefficients.
For example, internal consistencies (coefficient
alphas) for ACDI scales are reported below for 1,042 juveniles screened in the
year 2001.
RELIABILITY OF THE ACDI (N=1,042, 2001)
ACDI Scales
Coefficient
Alpha
Significance
Level
Truthfulness Scale
.86
p<.001
Alcohol Scale
.89
p<.001
Drugs Scale
.89
p<.001
Adjustment Scale
.85
p<.001
Distress Scale
.90
p<.001
All ACDI scales have alpha coefficients well above
the professionally accepted standard of .75 and are highly reliable. All
coefficient alphas are significant at the p<.001 level.
Early validity studies used criterion measures and
were validated with other tests, e.g., Minnesota Multiphasic Personality
Inventory (MMPI) L and F-Scales, 16PF, Treatment Intervention Inventory,
MacAndrews, Juvenile Profile, experienced staff ratings, etc. Much of this
research is reported in the document titled "ACDI: An Inventory of Scientific
Findings." To go directly to this research, click on the ACDI Research link.
Relationships between ACDI and
ACDI-Corrections Version II scales
The ACDI-Corrections Version II is a corrections
version of the ACDI where the Violence Scale was added, but the other scales
remained the same. Pearson Product-Moment correlation coefficients between ACDI
scale scores and ACDI-CV II scale scores are presented in the table below.
CORRELATION BETWEEEN ACDI & ACDI II
Scales
Correlation Coefficient
Truthfulness Scale
r = .99
Alcohol Scale
r = .99
Drugs Scale
r = .99
Adjustment Scale
r = .99
Distress Scale
r = .98
Two different samples of juveniles were used in
this correlation analysis, and each youth took only the ACDI or the ACDI-CV II.
To test the correlation between scale scores, the data for each scale was
sorted in ascending order. This type of correlation was used because different
respondents took different tests. But, because the scales and respondents were
similar, the correlations are meaningful. There were 2,084 youths included in
this analysis (1,042 for each test). Such high correlation coefficients
demonstrate that ACDI and ACDI-CV II scales are reliable and valid.
Staff Member Input
Some people advocate fully automated assessment;
Behavior Data Systems does not. The ACDI is to be used in conjunction with
experienced staff judgment. Experienced evaluators should also interview the
youth. For these reasons, the following statement is contained in each ACDI
report: "ACDI reports are confidential and should be considered working
hypotheses. No decision should be based solely upon ACDI results. ACDI results
are to be used in conjunction with experienced staff judgment."
Unique Features
The
Truthfulness Scale measures how truthful and open the juvenile was
while completing the ACDI. This scale identifies denial, problem minimization
and faking. Many troubled youth attempt to minimize their problems. A
Truthfulness Scale is a necessary component in contemporary juvenile
assessment. The ACDI Truthfulness Scale has been validated with other tests,
truthfulness studies and the Minnesota Multiphasic Personality Inventory (MMPI)
L and F-Scales. It consists of a number of items that most juveniles agree or
disagree with. This important scale has been demonstrated to be reliable, valid
and accurate. Much of this normative research is reported in the document
titled "ACDI: An Inventory of Scientific Findings."
Truth-Corrected scores
have proven to be very important in enhancing assessment accuracy. This
proprietary truth correction program is comparable to the MMPI K-Scale
correction methodology. The ACDI Truthfulness Scale has been correlated with
the other four ACDI scales. The Truth Correction equation converts raw scores
to Truth-Corrected scores. Truth-Corrected scores are more accurate than raw
scores. Raw scores reflect what the juvenile wants you to know. Truth-Corrected
scores reveal what the juvenile is trying to hide.
Adjustment Scale:
Measures the youth's ability to adapt, conform and function. This scale
recognizes personal and social stressors at home, school and in authority
relationships. It incorporates personal and social forces involved in adapting
to one's environment.
Distress Scale:
Measures the youth's experienced pain, suffering, anxiety and depression. The
blending of symptom clusters is clear in the definition of dysphoria, i.e., a
generalized feeling of anxiety, restlessness and depression. Distress
incorporates unhappiness, dissatisfaction, worry, apprehension, etc. The
Distress Scale also incorporates items symptomatic of anxiety and depression.
Distress has broad applicability in adjustment, intervention, counseling and
outcome.
More than just another
alcohol or drug test. In
addition to alcohol and drugs, the ACDI assesses other important areas of
inquiry like truthfulness, distress and adjustment. The ACDI is designed
specifically for juvenile (male and female) assessment. It provides the
information needed for understanding juvenile attitudes and behavior. An ACDI
example report can be viewed by clicking on the
ACDI Example Report link.
Three ways to give the ACDI: The
ACDI can be administered in three different ways: 1.
Paper-pencil test booklet format is the most popular testing procedure.
English and Spanish test booklets are available.
2. ACDI tests can be given directly on the computer screen. Some
youth programs dedicate computers for on-screen testing. And,
3. Human voice audio is
available for English and Spanish speaking youths. This involves a computer and
a headset. The juvenile uses the up-down arrow keys. As the juvenile goes from
question to answer with the arrow key, that question or answer is highlighted
on the monitor (screen) and simultaneously read to the juvenile. These three
administration modes are discussed in the "ACDI: Orientation and Training
Manual." Each test administration mode has advantages and some limitations. Behavior Data Systems offers
these three test administration modes so test users can select the
administration mode that is optimally suited to their needs.
Reading Impaired Assessment: Reading impaired
juveniles represent 20+ percent of youths tested. This represents a serious
problem to many other juvenile tests. In contrast, Behavior Data Systems has
developed a proprietary alternative for reading impaired assessment, which is
termed "human voice audio."
Human Voice Audio
(in English or Spanish) helps resolve many reading, along with cultural
difference, issues. Passive vocabularies are often greater than active
vocabularies. Hearing items read often helps reduce both cultural and
communication problems. As discussed earlier, "human voice audio" test
presentation requires a computer, earphones and simple instructions regarding
how to operate the up-down arrow keys located on the computer keyboard. Without
this "human voice audio" option, a juvenile screening program could be limited.
Confidentiality: Behavior Data Systems encourages test users to
delete juvenile names from diskettes before they are returned to Behavior Data
Systems. This proprietary name deletion procedure involves a few keystrokes.
Once juvenile names are deleted, they are gone and cannot be retrieved.
Deleting juvenile names does not delete demographics or test data, which is
downloaded into the ACDI database for subsequent analysis. This 'name deletion'
procedure insures juvenile confidentiality and compliance with HIPAA (federal
regulation 45 C.F.R. 164.501).
Test Data Input
Verification: This proprietary
program allows the person that inputs the test data from the answer sheet into
the computer to verify the accuracy of their data input. In brief, test data is
input twice, and any inconsistencies between the first and second data entries
are highlighted until corrected. When the first and second data entries match
or are the same, the staff person may continue. Use of this data entry
verification procedure is optional, yet it is strongly recommended by Behavior Data Systems.
Inventory of Scientific
Findings: Much of the ACDI research has
been gathered together in one document titled "ACDI: An Inventory of Scientific
Findings." This document summarizes ACDI research chronologically -- as the
studies were completed. This rather innovative chronological reporting format
was established largely because of the ACDI database, which permits annual
database analysis of all tests administered. It also allows the reader to
observe the evolution of the ACDI into its current state-of-the-art position.
Staff
Training: Behavior Data Systems' staff is available to participate
in ACDI training programs scheduled by test users in the United States. Large
departments/agencies or statewide programs often are interested in ACDI staff
training. Certificates attesting to training completion are provided.
Staff training is also provided on Fridays at
Behavior Data Systems' Phoenix offices from 8:30 a.m. to 11:30 a.m. or from
1:30 p.m. to 4:30 p.m. These training sessions are free. To participate,
contact Behavior Data Systems at least ten days in advance. Participation is on
a first call, first scheduled basis.
"What Users Are Saying..."
"The Adolescent Chemical Dependency Inventory
(ACDI) format is focused, sequential, and easy to read. The over-lay between
the print-out and staff assessment has been a perfect fit. The staff response
is 'right-on-target.' The scope of the analysis is broad, but concise. Our
tested population falls into a normal, bell-curve distribution. The diskette
allows us to give a same week guarantee, same day probability, and same hour
feedback appropriate for the identified problems. Finally, the option for
telephone consultation is of significant value if or when needed - which for
this office has been perhaps twice over the past eleven months (in a word or
two - its trouble free!)."
Porter County Juvenile Probation Office, Indiana
"We have been using the Adolescent Chemical
Dependency Inventory (ACDI) in our standardized youth intake evaluations for
two years now. The ACDI has had many positive advantages to our clients, staff
and in terms of our mission, i.e., to provide the highest quality of service to
those in need at affordable prices. The availability of test results within the
same day enables us to focus our interviews and thereby save significant staff
time. Test results are summarized in an easily understood manner regarding our
client's problems, situation and needs. Client risk levels are summarized at a
glance and recommendations are both relevant and helpful. This objective and
reliable information does provide us with a 'sound basis for decisions making.'
The ACDI shortens our intake procedures, aids us in cutting through denial and
facilitates intervention."
National Council on Alcoholism, Inc., Arizona
"I am writing to indicate how pleased we are with
the ACDI. This screening instrument provides us with an enormous amount of
invaluable information at a fraction of the cost of any alternatives. As you
know troubled youth with a strenuous eight day program in the Northern Flinders
Ranges and a reliable initial screening program for prospective participants is
essential . . . Over time the ACDI will allow us to develop a much better
psychological profile of the youth who experience Operation Flinders."
Operation Flinders, National Curriculum &
Training, Australia
"I received the ACDI summary report as requested
earlier this month, and wanted to thank you for not only your prompt response
but also the information the report itself contains.
It is very difficult for small court systems,
like ours, to have the means to compile statistical data on issues other than
those which are legislatively mandated. So many times, needed data, such as
which your summary covered, is unavailable due to the inability of the system
to have the financial resources or technical knowledge base needed. The summary
report gives me the ability to now approach community leaders with hard data
confirming demographic trends and treatment needs that I am aware of but could
not substantiate. Now, future treatment planning that would have not occurred
because of lack of data will occur.
Again, thank you for making the summary report
available as part of the cost of the instrument itself. We, at TASC, will
continue to use the assessment instruments developed by your company and will
also continue to recommend them for use in future Ohio Juvenile TASC programs."
TASC, Common Pleas Court,
Ohio
Scale Interpretation: There are several levels of
scale interpretation ranging from viewing the ACDI and the ACDI-Corrections
Version II as self-reports to interpreting scale elevations and scale
interrelationships. A discussion of scale interpretation is presented in
the ACDI-Corrections Version II webpage.
Test
Unit Fee (Cost): ACDI cost information can be reviewed by clicking
on the Test Unit Fee (Cost) link. There is only the one cost
or charge, and that is the test unit fee. Everything else is included at no
additional cost to the test user. This includes test booklets, answer sheets,
training manuals, upgrades, ongoing database research, annual summary testing
reports, staff training, and support services. Do not be misled by some test
publishers' à la carte pricing like separate costs for each test administration
as well as for each of the test-related items listed above. Instead of asking
for the test administration cost, ask for the total cost involved in using a
test. We believe Behavior Data Systems' one test unit fee is very affordable.
Free
Examination Kit: A 1-test demonstration diskette is
available on a 30-day cost free basis. Demo diskettes are in Windows format.
The Examination Kit includes a 1-test demo diskette, installation CD (with
instructions), test booklet, answer sheet and some descriptive materials.
Behavior Data Systems, Ltd. does want the test booklet and diskette returned
within 30 days.
Selecting a Juvenile
Screening Instrument or Test
If you are selecting a juvenile assessment
instrument, the following Comparison Checklist should prove helpful. This
checklist itemizes important assessment and screening qualities. The "Other"
column represents any other test you might want to compare to the ACDI.
TEST COMPARISON CHECKLIST
COMPARISON CATEGORIES
ACDI
Other
Designed Specifically for Juvenile Assessment
Yes
Test Reliability & Validity Research Provided
Yes
Test Completed in 15 to 20 Minutes
Yes
On-Site Reports within 2½ Minutes
Yes
Truthfulness Scale to Detect Faking
Yes
Truth-Corrected Scores for Accuracy
Yes
Three Test Administration Options
Yes
1. Paper-Pencil (English and Spanish)
Yes
2. On Computer Screen (English and Spanish)
Yes
3. Human Voice Audio (English and Spanish)
Yes
Delete Names (confidentiality) procedure
Yes
HIPAA (federal regulation) Compliant
Yes
Very Affordable Test Unit Fee
Yes
Test Data Input Verification (accurate scoring)
Yes
Available in English and Spanish
Yes
Built-in Database
Yes
Annual Database Research (Free)
Yes
Annual Test Program Summary (Free)
Yes
Comprehensive Assessment (Five Scales)
Yes
Specific Scale Score-Related Recommendations
Yes
Alcohol and Drugs Scales
Yes
Distress Scale
Yes
Adjustment Scale
Yes
Easily Understood and Helpful Reports
Yes
ASAM Compatible Recommendations
Yes
Staff Training (Free)
Yes
Examination Kits (Free)
Yes
As stated earlier, the above checklist itemizes
important assessment, screening and evaluation qualities. Rather than naively
or blindly accept a colleague's test recommendation, compare tests. We are
confident that the ACDI will compare favorably with other juvenile tests. An
ACDI example report is now presented for your review.
ACDI reports utilize the same page arrangement,
yet each report is highly individualized. These reports collect a lot of
self-report information and present it in an easily understood manner.
Additional information can be provided upon request by writing: Behavior Data Systems, Ltd. P.O. Box 44256 Phoenix, Arizona 85064-4256.
Our telephone number is (602) 234-3506
Our fax number is (602) 266-8227
and our e-mail address is
bds@bdsltd.com.