This document provides screening criteria for Antisocial Personality Disorder (APD) and Substance Use Disorder (SUD) to determine appropriate referrals for treatment. For APD screening, criteria include behaviors before and after age 15 relating to aggression, destruction of property, deceit, rule-violations, and more. For SUD screening, criteria cover tolerance, withdrawal, desire to decrease use, and continued use despite consequences. Patients meeting criteria for only APD are referred to treatment addressing disregard for others' rights. Those meeting only SUD criteria are referred to substance abuse treatment. Patients meeting both are referred to treatment for co-occurring APD and SUD.

1. Antisocial Personality Disorder/Substance Use Disorder Screening™ Referrals to APD, SUD or Resocial Group™/Other Co-occurring Cognitive Behavioral Treatment © 1999-2002 Rand L. Kannenberg, M.A., LAC, CCS, CCM All rights reserved. Criminal Justice Addiction Services Lakewood, CO rtkannenberg@juno.com (303) 232-0767 APD/SUD Screening ™ Page 15.

2. Part 1: Antisocial Personality Disorder¹ (APD) Screening (All 4 blanks must be checked to meet APD screening criteria) _____Before the age of 15 years, at least 3 of the following are indicated (circle the 3 or more that apply): aggression to people or animals destruction of property deceitfulness or theft serious violations of rules or laws _____Is at least 18 years-old currently. _____Since the age of 15 years, at least 3 of the following are indicated (circle the 3 or more that apply): repeatedly performs acts that are grounds for arrest repeatedly lies, uses aliases or cons others for personal profit or pleasure repeatedly fails to plan ahead repeatedly involved in physical fights or assaults repeatedly unsafe or dangerous with self or others repeatedly fails to sustain consistent work behavior or honor financial obligations (and/or to maintain an enduring attachment to a spouse or romantic partner and/or to be a responsible parent) repeatedly indifferent to or rationalizing having hurt, mistreated, or stolen from another _____The 3 or more indicators seen above do not occur exclusively during the course of Schizophrenia or a Manic Episode.

3. Part 2: Substance Use Disorder¹ (SUD) Screening (At least 1 blank must be checked to meet SUD screening criteria) _____Past or present, at least 3 of the following are indicated (circle the 3 or more that apply): increased tolerance withdrawal increased quantity or duration persistent desire or inability to decrease or discontinue use increased time to obtain or recover social/occupational/recreational impairment continued use despite awareness of related physical or psychological problems _____Past or present, at least 1 of the following are indicated (circle the 1 or more that apply): recurrent use resulting in social/occupational/educational problems recurrent use in physically hazardous situations recurrent substance-related legal problems continued use despite awareness of related social or interpersonal problems

4. Part 3: Referral (Circle 1 appropriate disposition) A. Refer to cognitive behavioral treatment that deals with pervasive pattern of disregarding and violating the rights of others if only APD screening criteria are met. OR B. Refer to cognitive behavioral treatment that deals with substance abuse or substance dependence if only SUD screening criteria are met. OR C. Refer to RESOCIAL GROUP™ or other cognitive behavioral treatment that deals with co-occurrence of pervasive pattern of disregarding and violating the rights of others and substance abuse or substance dependence if both APD and SUD screening criteria are met.