Tag: The SASSI Institute

Elevated RAP/ High Probability Results on an Adult SASSl-4

This profile on a 21-year-old female with the FVA and FVOD, based on the last 12 months, is interesting primarily because it is so unusual.

As you look at the profile graph, all the scale scores are within the norm, i.e., between the 15th and 85th percentiles except for the SYM score which is above the 85th percentile. This tells you that she is acknowledging symptoms and consequences of her use and indicates she is associating with friends or family who are also heavy users. This is a bit of a contrast to her FVA and FVOD scores, both of which are above average but not above the 85th percentile.

The SAT score of 5 is within the norm which is a positive – no denial or lack of awareness or insight is indicated. However, with the OAT score within the norm, it is a possibility that she does not identify with other substance users and those characteristics we associate with substance users such as impatience, self-pity, resentment, or impulsivity. If marijuana is her primary drug, she may not see it as a problem so the high probability of a substance use disorder may be an unexpected result for the client.

Another positive is the DEF score, which is above average but not clinically significant since it is below the 85th percentile.

The client meets decision rules 5, 6 and 9 and 10 thus meeting the criteria for a high probability of a substance use disorder. As a reminder, more rules that are met does not mean a more severe problem. As we often mention on the clinical helpline, the diagnosis and severity of a substance use disorder is based on the criteria in the DSM-5.

Note the Prescription Drug Scale score of 2. It does not meet the cut-off criteria for prescription drug abuse, but it is worth a look at those items she endorsed.

The caller was puzzled by the RAP score of 2 and how it affected the result of the SASSI.

A RAP score of 2 or more always needs to be explored, preferably with the client. The two items which posed the problem were ‘I never have been picked on and I have never been sad’.
Cultural and language contexts need to be considered for possible reasons the client answered as she did. The possibility of her deliberately trying to ‘skew’ the questionnaire is low given the high probability result. More likely, the client answered accurately for her based on her life experience.

The clinician can now safely accept the overall result as valid.

As a reminder, the free clinical helpline, (800-726-0526) is available M-F, 12- 5 pm (EST) for any questions you may have. We also offer a free Q&A zoom meeting once a month for an hour as well. Please check the blog notice for dates and time to register. And finally, if you have additional inquiries, please contact the Clinical Director, Kristin Kimmell, LCSW, LCAC at kristin@sassi.com.

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What is a Substance Use Disorder Screening Instrument and the SASSI

A substance use disorder screening instrument is a tool that is used to identify individuals who may be struggling with substance abuse or addiction. There are several different types of screening instruments that may be used, but one of the most common is the Substance Abuse Subtle Screening Inventory (SASSI).

The SASSI is a self-administered questionnaire that asks a series of questions related to an individual’s past and current use of drugs and alcohol, as well as their behavior and attitudes related to substance abuse. The questions are designed to identify patterns of behavior that may be indicative of a substance use disorder, such as a tendency to lie about drug or alcohol use, or a history of legal or financial problems related to substance abuse.

The SASSI also includes subtle scales which help to identify individuals who may be attempting to conceal their drug and alcohol use. There are several benefits to using the Substance Abuse Subtle Screening Inventory (SASSI) as a substance use disorder screening instrument:

  • Standardization: The SASSI is a standardized tool that has been extensively researched and validated. This means that it provides a consistent and reliable method for identifying individuals who may be struggling with substance abuse.
  • Efficiency: The SASSI can be administered quickly and easily, either in paper or electronic format. This makes it a convenient tool for screening large groups of people, such as in a primary care or community health setting.
  • Sensitivity: The SASSI is designed to be sensitive to a wide range of substance use disorders, including those that may not be immediately apparent to healthcare providers or other professionals.
  • Validity: The SASSI subtle scales increase the accuracy of the results and ensure that individuals receive appropriate treatment based on their level of need.
  • Flexibility: The SASSI can be used with a variety of populations, including adults, adolescents, and those with co-occurring mental health disorders.

Overall, the SASSI provides a useful tool for healthcare providers, substance abuse professionals, criminal justice entities and others who are involved in identifying and treating substance use disorders. It can help to ensure that individuals receive appropriate care and support, which can ultimately improve their health and well-being.

Clinical Q&A and Live SASSI Training Webinar 

We are pleased that people have been joining us for our free one-hour online Clinical Q&A sessions hosted by our Clinical Director, Kristin Kimmell, LCSW, LCAC.  

We enjoy hearing how you are using the SASSI in your clinical practice and agencies as well as answering your questions and speaking to you all.  We have scheduled additional sessions that we hope you can join in on. You can reserve your spot and view available dates and times by clicking here. If you have profiles you would like to share with the group for discussion, please send them (de-identified) via email any time prior to the session to scarlett@sassi.com. Your contributions would be of great value. Also, a reminder that we have a live webinar on Administration & Scoring of the paper & pencil version of the SASSI on April 18th and Clinical Interpretation on April 25th. You can register by clicking here.   

Note that the Q&A sessions do not provide CEUs and are not a substitute for SASSI Training. SASSI training provides 3.5 NAADAC CEs per session. 

We hope to see you there! 

Career Opportunity: Clinical Sales Specialist

The SASSI Institute is seeking a Clinical Sales Specialist to support our growing infrastructure.  A successful candidate must have prior sales experience, with training as a Sales Representative preferred. Experience working in addictions treatment is preferred but not required. Knowledge of and experience working with substance use disordered individuals and especially treatment providers is a definite plus. The ideal candidate has high confidence and excellent communication skills. The candidate must know how to both pitch a product, leverage company messaging, and deal with people one-on-one.

For a full description of the position, requirements and how to apply, click here: Clinical Sales Specialist

Engaging Caregivers & Family Members into an Adolescent’s Intervention & Treatment

Learn to strengthen social support for clients and families in order to learn skills that can be used with the entire family. Adolescent-Community Reinforcement Approach (A-CRA) skills are simple, behavioral, and easy for families to repeat during family sessions and outside of treatment. The positive, supportive approach of A-CRA allows participants to focus on the positive aspects of the family and build upon family strengths to improve relationships.

On Thursday March 16th, The SASSI Institute will be sponsoring a workshop on the A-CRA approach with families. The workshop will be hosted by Courtney Hupp, MSW, LCSW, CADC, who is an EBT Clinical Coordinator at Chestnut Health Systems in Illinois. She had an active role in the Assertive Continuing Care (ACC) study, funded by NIAAA, in which she administered the ACC and Community Reinforcement Approach (CRA) protocols to residential clients’ post-discharge, as well as supervised other therapists on the study. Courtney has clinical experience with a variety of populations and settings including domestic violence intervention, crisis intervention, corrections, substance use disordered adults and adolescents, adults with developmental disabilities, persons with HIV and AIDS, and adults with severe and persistent mental illness. For the past 18 years, Courtney has trained and certified therapists across the U.S. and Canada in CRA and A-CRA. She has conducted over 80 trainings and has helped to certify over 1,000 therapists and supervisors in the CRA and A-CRA models.

The A-CRA intervention has been implemented in outpatient, intensive outpatient, schools, prevention services, and residential treatment settings. This research-tested intervention has been used in over 500 organizations across the United States and Canada. Courtney will introduce the A-CRA model, a summary of the research base, and details about how to use A-CRA during family sessions.

To learn more about this workshop and/or to register, please visit: Adolescent – Community Reinforcement Approach – FAMILY SESSIONS

SASSI customers and university students please email scarlett@sassi.com and mention this blog for a special offer code.

REMINDER: More Live Clinical Q&A Sessions Coming Up

Please join us for our free Clinical Q&A sessions online. The sessions are hosted by our Clinical Director, Kristin Kimmell, LCSW, LCAC, and last approximately one-hour. We invite you to ask questions or share experiences regarding unusual or difficult profiles you may have come across. However, all questions are welcome. We would be delighted if you have profiles you would like to share with the group for discussion. Please send them (de-identified) via email any time prior to the session to scarlett@sassi.com. Your contributions would be of great value.

The next upcoming dates are Tuesday, February 21st and Tuesday, March 21st from 1-2 pm ET. Click here to register today.

Note that these Q&A sessions do not provide CEUs and are not a substitute for SASSI Training.

See you there!

SASSI’s Latest Publication Focuses on Long Term Recovery

On January 19th of this year our latest manuscript was published in Social Behavior Research and Practice.  Examining Sustained Recovery from Substance Use Disorder — A Delicate Process discusses the various aspects and definitional terms involved in achieving sustained abstinence (Long-term recovery).  This article was submitted as the first in a series of manuscripts examining the recovery process; both from the perspective of the recovering individual, but also including persons within that individual’s personal and professional circles. Our goal is to achieve a holistic understanding of recovery as experienced and understood by recovering individuals, but in addition, to achieve a better understanding of what that recovery experience looks like from the perspective of those with direct access to the individual’s recovery sphere. We are actively seeking collaborations with substance use programs, outpatient clinics, halfway houses, and other venues where individuals undergoing their personal recovery experience may be residing or whose service they may be utilizing. We firmly believe in the adage that there can be “Nothing about us without us,” (Jürgens R., 2008). Please help us accomplish what promises to be an exciting and fruitful undertaking as we seek to quell the ongoing ravages of addiction in its many forms.

Jürgens R. (2008) “Nothing about us without us” – Greater, meaningful involvement of people who use illegal drugs: A public health, ethical, and human rights imperative.

SASSI Online Tips and Tricks: Volume 4 | Unassigning (deleting) or Redelivering an Incomplete Questionnaire

In this edition of SASSI Online Tips and Tricks we look at answering one of our commonly asked Tech Support questions; how to unassign (delete) or redeliver an incomplete questionnaire.

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A Year-End Message From Our CEO

As this tumultuous year comes to an end, I would like to recognize all of us that have lost loved ones, friends or colleagues. In honor of their suffering and loss, we offer our condolences, our understanding, our compassion and our love. To those that have suffered, strained, and fought endlessly, yet maintained their sobriety we offer our deepest congratulations. But to those who may have succumbed to the demons of addiction and slipped or relapsed, yet survived, we also offer our most heartfelt congratulations! One day at a time you have survived, you have demonstrated your power and resolve. And last but of course not least, for those of us among us that have moved on to a new life, those that we have lost to disease, overdose and any combination of complications, may you be now joined by the higher power of your choosing, and with the love from those that preceded you, as well as those that will miss you here.

In the meantime, our Board of Directors, senior management staff and myself, want to reassure you that despite the multiple supply chain issues, inflationary pressures and uncertain economic environment, we will continue to keep our doors open and provide the critical assistance so many of you seek to help those less fortunate. There no words sufficient to thank you for the work you do, the struggles you engage in to help those less fortunate than ourselves. For that and so many more reasons, we at The SASSI Institute share our thanks!

We will continue doing our best to allow you, our licensees and collaborators to continue to do your jobs, offer the many services you offer and continue to assist those that need us the most, those still suffering through substance use, co-morbidities and in some cases along with COVID and other health issues, tri-morbidities. I am extremely proud of our staff and the non-stop work they have continued to perform. Our Training Department continues to provide state of the art Training services and Interpretative guidelines to assist you in your endeavors. In addition, via The Professional Development Workshops series, our nationally recognized experts continue to provide certified trainings related to substance use disorders, co-occurring disorders and the incorporation of our SASSI tools in assessment packages for specialized populations. Our customer service, clinical and IT teams as always, remain at your disposal and are providing non-stop services to facilitate your administration and interpretation of our many tools. Our research department continues to churn out contemporary, pertinent literature that will assuredly help you in your quests to further assist your patients. And I’d like to remind you that we have ensured that these publications be made available to you free of charge as part of an arrangement via the Creative Commons. So please access these, do so often and feel free to share with your colleagues and friends.

In the meantime, be kind to yourselves and let’s make it our mission to take care of each other, and please accept The SASSI Institute’s best wishes for a healthy, happy New Year and holiday season!

Join us for LIVE Clinical Q&A Sessions

You’re invited to join us for our free Clinical Q&A sessions online. The Q&A sessions are hosted by our Clinical Director, Kristin Kimmell, LCSW, LCAC, and lasts approximately one-hour every month. You’re welcome to ask questions or share experiences regarding unusual or difficult profiles you may have come across. But any and all questions are welcome. If you have profiles you would like to share with the group for discussion, please send those (de-identified) via email any time before the session to scarlett@sassi.com.

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