This document discusses an AMIS system for managing client information and program effectiveness. It includes: - Overviews of the key system benefits like increasing efficiency, targeting treatment, monitoring progress, and generating reports. - Descriptions of different modules within the system like assessments, referrals, monitoring client progress, and reviewing outcomes. - Examples of tools within the system like a drug use screening inventory, treatment planning, and real-time analytics and reporting. The AMIS system allows organizations to efficiently coordinate client care, treatment, and program evaluation through centralized data collection and reporting tools.

1. Dr. Steve Weatherbee
eCenter Research
steve@ecenterresearch.com
Financial contribution from
Avec le financement de

2. Key System Benefits
ü Increase organizational efficiency
ü Target treatment to client needs
ü Monitor client progress
ü Improve care coordination
ü Monitor program effectiveness
ü Generate quarterly/annual reports

3. Increase Organizational Efficiency
ü Common system functions
ü Web based anytime access/any device
ü One source record for each client
ü Common client information
ü Consistent format of information
ü Customize to meet Centre data needs

4. Target Treatment to Client Needs
ü Standardized intake protocol
ü Validated multivariate assessment
ü Mental health and addiction combined
ü Culturally relevant (adaptation in progress)
ü Treatment Planning Tool (coming soon)

5. Monitor Client Progress
ü Follow up assessment
ü Progress monitoring reports
ü Case notes / Client files
ü Adapt treatment plan / review impact
ü After care monitoring

6. Improve Care Coordination
ü Common referral process
ü Electronic sharing of key information
ü Transfer/sharing of client records
ü Continuity of care (inpatient-outpatient-aftercare)
ü Early detection of relapse

7. Monitor Program Effectiveness
ü Aggregate client outcomes data
ü Real-time reporting
ü Advanced filtering
ü Guide improvement decisions

8. Generate Quarterly/Annual Reports
ü Real-time analytics
ü Instant report generation
ü Accommodate different funding sources

9. AMIS System Navigation
ü AMIS Design - Flexible
ü Support - HelpDesk
ü Menus - Tools
ü Tabs - Grids - Action buttons
ü Advanced Reporting – Filters

10. AMIS System Demo
ü Client records – demographics-settings
ü Assessments - Forms - Reports
ü Referral functions
ü Monitoring client progress
ü Reviewing program effectiveness
ü Location settings
ü Instant quarterly and annual reports

11. Drug
Use
Screening
Inventory
(DUSI-­‐R)

12. STEP
1
STEP
2
STEP
3
DQS
SHORTFORM
DUSI-­‐R
3
Minutes
7
Minutes
20
Minutes
TIME
RESOURCES
MANAGEMENT

13. The
DUSI-­‐R
Quick
Screen
(DQS)
• Three
age-­‐versions
of
the
DUSI-­‐R
Quick
Screen
severity
of
substance
use
AND
RELATED
PROBLEMS
during
early,
middle
and
late
adolescence.
Two
Indexes
• Substance
Use
Involvement
Index
and
• Problem
severity
Index

14. Substance Use Involvement Index

15. Problem Severity Index

16. DQS Instant Screening Results

17. Drug
Use
Screening
Inventory
(DUSI-­‐R)
Basic
Scales
(problem
severity
0
–
100%)
Substance
Use
Family
System
Behavior
Problems
School
Performance
Health
Status
Work
Adjustment
Psychiatric
Disturbance
Peer
AffiliaVon
Social
Skills
Leisure/RecreaVon

18. Drug
Use
Screening
Inventory
Overall
Problem
Density
Score
0-­‐100%
+6
Ancillary
Scales
• Anxiety
• Depression
• ADHD
• SUD
• CD
• Violence
Proneness

19. DOMAIN
1A
Substance
Topology
• Type of Substances
• Frequency

20. DOMAIN
1B
Substance
Use
Consequences
• Motivation (craving) (1)
• Tolerance (2)
• Loss of Control (3,16)
• Social Disruption (6,24)
– Legal
– Injury
– Emotion
• Dependence (12, 18)

21. DOMAIN
2
Behavior
PaHerns
• Dysregulation (28,23,25,28,29,30,31)
• Social isolation (26,34,35)
• Interpersonal hypersensivity
– Anger (17,27)
– Aggression (19,20,27,32)

22. DOMAIN
3
Health
Status
Frequent health problems associated with
substance use and psychiatric disorder
• Disease (46,47)
• Injury (39)
• Illness (41,42,43,44,46,47)
• HIV Risk (45)

23. DOMAIN
4
Mental
Health
Disorder
• Antisociality (49,50,51)
• ADHD (52,53,54,55)
• Affect (D&A) (56-64, 67)
• Paranoia (63-66)
• Mania (68)

24. DOMAIN
5
Social
Competence
• Relationship formation (71,72,73,77,82,83)
• Assertive (73,74,79)
• Help seeking (75)
• Refusal (76,80)
• Compliment acceptance (81)

25. DOMAIN
6
Family
System
• Substance use (55,86)
• Antisociality (87)
• Dyadic interactions quality (Dysfunction)
• Conflict (88,93)
• Cohesion (89)
• Engagement/investment (90,92,94,95,96,97)
• Boundaries/rules (91)
• Threats (98)

26. DOMAIN
7
School
Problems
• Likes school (100)
• Performance/grades (101,102,103,104)
• Compliance (103,106,108,112,118)
• Adjustment (110,111,119)
• Dropout risk (105)
• Perceived danger (113)

27. DOMAIN
8
Work
Adjustment
• Firing (122, 125, 128)
• Interpersonal Adjustment (121,124,127,129)
• Job seeking skills (125)
• Illegal Work (126)

28. DOMAIN
9
Peer
RelaWonships
• Peer drug use/dealing (132,133,139,140)
• Non-drug antisociality (134,136,138,141)
• Older friends (137)
• Gang (142)
• Adjustment problems (143,144,145)

29. DOMAIN
10
Leisure
and
RecreaWon
• Active activities (147,151,158)
• Passive activities (149,152)
• Adult supervision (148,150)
• Boredom (153)
• Solitary activity (154,156)

30. Why
use
the
DUSI-­‐R?
1. Comprehensive
• 16 scales
2. Efficient
• 20 minutes to administer, and immediate automatic scoring
3. Pragmatic
• measures problems that can be resolved
4. Ranks Problems Severity on a Common Metric of 0-100%
• intervention can be tailored to the magnitude of each problem
5. Improves Staff Decision Making
• Treatment plan, monitor change, relapse prevention

31. Why
use
the
DUSI-­‐R?
6. Resources Management
• Informs resource needed for prevention and treatment
7. Outcomes Monitoring
• Tracking client’s progress
8. Program Evaluation
• Document magnitude of benefit and cost-effectiveness.
9. Client Motivation/Engagement
• Form partnership with client to catalyze empowerment
10. Brief, Short, and Full Versions are available

32. Prioritizing Intervention Modalities

33. Monitoring Patient Response to Tx

34. Patient Response to Tx

35. Tx Plan Adaptation –
Changing Needs/Priorities

36. Post–Treatment Gains Sustained,
Monitor Risk for Relapse

37. Population Profile – Multivariate
Needs

38. Population Profile – Substance Use

39. Population Profile –
Substance Use Reduction

40. Population Profile – Mental Health

41. Population Profile – Adverse
Outcomes

42. Population Profile – Reduction of
Likelihood of Disorder by age 19, 22

43. Population Profile – Reduction of Risk
for Adverse Outcomes

44. Through technology,
patient-centered clinical practice
and case management are
efficiently coordinated
by the DUSI-R

45. Publications
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