This document discusses an electronic client management system called AMIS. It provides key benefits like increasing organizational efficiency, targeting treatment to client needs, monitoring client progress, improving care coordination, and monitoring program effectiveness. It allows generating quarterly and annual reports. Various features of AMIS are described, including common client records, standardized assessments, monitoring outcomes, and customizable reporting. Screenshots demonstrate client records, forms, and analytics functions. The last section discusses the Drug Use Screening Inventory (DUSI-R), a standardized assessment for substance use and related problems.

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

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

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

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

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

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

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

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

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

10. AMIS System Demo
 Client records – demographics-settings
 Assessments - Forms - Reports
 Referral functions
 Monitoring client progress
 Reviewing program effectiveness
 Location settings
 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 Affiliation
Social Skills Leisure/Recreation

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 Patterns
• 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 Relationships
• 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 Recreation
• 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
Tarter, R.E. (1990). Evaluation and treatment of adolescent substance abuse: A decision tree method. American Journal of Drug
and Alcohol Abuse, 16(1,2), 1-46.
Tarter, R., Laird, S., Kabene, M., Bukstein, O., Kaminer, Y. (1990). Drug abuse severity in adolescents is associated with magnitude of
deviation in temperament traits. British Journal of Addictions, 85, 1501-1504.
Tarter, R. & Hegedus, A.M. (1991). The Drug Use Screening Inventory: Its application in the evaluation and treatment of alcohol and
drug abuse. Alcohol Health and Research World, 15, 65-75.
Tarter, R., Laird, S., & Bukstein, O. (1991). Multivariate comparison of adolescent offspring of substance abuse parents: Community
and treatment samples. Journal of Substance Abuse, 3, 301-306
Tarter, R.E. (1991). Prevention of Drug Abuse: Theory and Application. The American Journal on Addictions, 1(1), 2-20.
Tarter, R., Moss, H., Arria, A., & Mezzich, A., Vanyukov, M. (1992). Psychiatric diagnosis of alcoholism: Critique and reformulation.
Alcoholism: Clinical and Experimental Research, 16, 106-116.
Mezzich, A., Tarter, R., Hsieh-Y-C, & Fuhrman, A. (1992). Substance abuse in female adolescents: Association between age of
menarche and chronological age. The American Journal on Addictions, 1, 217-221.
Tarter, R., Laird, S., Bukstein, O., & Kaminer, Y. (1992). Validation of the adolescent Drug Use Screening Inventory: Preliminary
Findings. Psychology of Addictive Behaviors, 6, 233-236.
Mezzich, A., Tarter, R., Kirisci, L., Clark, D., Bukstein, O., & Martin, C. (1993). Subtypes of early age onset alcoholism. Alcoholism:
Clinical and Experimental Research, 17, 767-770.
Tarter, R., Kirisci, L., Hegedus, A., Mezzich, A., & Vanyukov, M. (1994). Heterogeneity of adolescent alcoholism. Annals of the New
York Academy of Sciences, 708, 172-180.
Tarter, R. (1994). Rediscovering opportunities in the emerging health services environment. Journal of Clinical Psychology, 50,
111-113.
Tarter, R. (1994). Integrative approach for the evaluation & treatment of alcohol and drug abuse. In Directions of Rehabilitation
Counseling, Vol. 1, Lesson 1, Professional Achievement Services.
Mezzich, A., Tarter, R., Hsieh, H-C, & Moss, H. (1994). Platelet Monoamine Oxidase and temperament and personality in adolescent
female substance abusers. Personality and Individual Differences, 16, 417-424.
Tarter, R., & Vanyukov, M. (1994). Alcoholism: A developmental disorder. Journal of Consulting & Clinical Psychology, 62, 1096-
1107.
Tarter, R., Mezzich, A., Kirisci, L., & Kaczynksi, N. (1994). Reliability of the Drug Use Screening Inventory among adolescent
alcoholics. Journal of Adolescent Substance Abuse, 3, 25-36.
Kirisci, L., Tarter, R., Tse-Chi, H. (1994). Fitting a two-parameter logistic item response model to clarify the psychometric properties of
the drug use screening inventory for adolescent alcohol and drug abuse. Alcoholism: Clinical and Experimental Research, 18,
1335-1341.
Mezzich, A., Moss, H., Tarter, R., Wolfenstein, M., Hsieh, Y-C, & Mauss, R. (1994). Gender differences in the pattern and progression
of substance abuse in conduct disordered adolescents. American Journal on Addictions, 3, 289-295.

46. Tarter, R., Mezzich, A., Hsieh, Y-C, & parks, M. (1995). Cognitive capacities in female adolescent substance abusers: Association with
severity of drug abuse. Drug and Alcohol Dependence, 39, 15-21.
Mezzich, A., Tarter, R., Kirisci, L., Hsieh, Y-C., & Grimm, M. (1995). Coping capacity in female adolescent substance abusers.
Addictive Behaviors, 20, 181-185.
Tarter, R. (1995). Genetics and primary prevention of drug and alcohol abuse. The International Journal of Addictions, 30, 1479-
1484.
Tarter, R. (1995). Rationale and Method of Client-Treatment Matching. The Counselor.
Kirisci, L., Mezzich, A., Tarter, R. (1995). Norms and sensitivity of the Adolescent Version of the Drug Use Screening Inventory.
Addictive Behaviors, 20, 149-157.
Tarter, R., Mezzich, A., Hsieh, Y-C, & parks, M. (1995). Cognitive capacities in female adolescent substance abusers: Association with
severity of drug abuse. Drug and Alcohol Dependence, 39, 15-21.
Mezzich, A., Tarter, R., Kirisci, L., Hsieh, Y-C., & Grimm, M. (1995). Coping capacity in female adolescent substance abusers.
Addictive Behaviors, 20, 181-185.
Tarter, R. (1995). Genetics and primary prevention of drug and alcohol abuse. The International Journal of Addictions, 30, 1479-
1484.
Tarter, R. (1995). Rationale and Method of Client-Treatment Matching. The Counselor.
Tarter, R., Kirisci, L., & Mezzich, A. (1996). The Drug Use Screening Inventory: School Adjustment Correlates of Substance Abuse.
Measurement and Evaluation in Counseling and Development, 29, 25-34.
Nespor, K., Csemy, L., & Pernicova, H. (1996). Comprehensive school based prevention including peer programmes. Alkoholizmus a
Drogove Zavislosti (Protialkoholicky Obzor, 31, 13-21.
Tarter, R., & Kirisci, L. (1997). The Drug Use Screening Inventory for Adults: Psychometric Structure and Discriminative Sensitivity.
American Journal of Drug and Alcohol Abuse, 23, 207-219.
Tarter, R., & Kirisci, L. (1997). Multivariate typology of adolescents with alcohol use disorder. American Journal on Addictions, 6,
150-158.
Tarter, R., Kirisci, L., & Clark, D. (1997). Alcohol Use Disorder Among Adolescents: Impact of paternal alcoholism on drinking behavior,
drinking motivation and consequences. Alcoholism: Clinical and Experimental Research, 21, 171-178.
Moss, H., Bonicatto, S., Kirisci, L., Girardelli, A., & Murrelle, L. (1998). Substance abuse and associated psychosocial problems among
Argentina adolescents: sex heterogeneity and familial transmission. Drug and Alcohol Dependence, 52, 221-230.
De Micheli, D. & Formigoni, M. (2000). Screening of drug use in a teenage Brazilian sample using the Drug Use Screening Inventory
(DUSI). Addictive Behaviors, 25(5), 683-691.
Tarter, R., & Kirisci, L. (2001). Validity of the Drug Use Screening Inventory for predicting DSM-III-R substance use disorder. Journal
of Child and Adolescent Substance Abuse, 10, 45-53.

47. Tarter, R., Kirisci, L., Vanyukov, M., Cornelius, J., Pajer, K., Shoal, G., & Giancola, P. (2002). Predicting Adolescent Violence: Impact
of Family History, Substance Use, Psychiatric History, and Social Adjustment. American Journal of Psychiatry, 159, 1541-1547.
Andrade, L. (2002). Factors of Acculturative Stress as Predictors of Substance Use in Latino Youth. Unpublished Doctoral
Dissertation, Alliant International University, California School of Professional Psychology (Fresno Campus), Fresno, California.
De Micheli, D., & Formigoni, M. (2002). Are reasons for the first use of drugs and family circumstances predictors of future use
patterns? Addictive Behaviors, 27, 87-100.
De Micheli, D., & Formigoni, M. (2002). Psychometric properties of the Brazilian version of DUSI (Drug Use Screening Inventory).
Alcoholism: Clinical and Experimental Research, 26, 1523-1528.
Dolan, G. (2002). The Drug Use Screening Inventory – Revised (DUSI-R). It’s validity in a New Zealand Context. Dissertation for
Masters of Health Sciences, Auckland University, Auckland, New Zealand.
Vittetoe, K., Lopez, M.F. Delva, J., Wagner, F., & Anthony, J. (2002). Behavioral problems and tobacco use among adolescents in
Central American and the Dominican Republic. Rev Panam Salud Publica, 11(2), 76-82.
Aytaclar, S., Erkiram, M., Kirisci, L., & Tarter, R. (2003). Substance abuse and associated psychosocial risk factors among Turkish male
adolescents. Addictive Behaviors, 28, 1419-1429.
Siewert, E., Stallings, M., & Hewitt, J. (2003). Genetic and environmental analysis of behavioral risk factors for adolescent drug use in a
community twin sample. Twin Research, 6, 490-496.
Tarter, R., Kirisci, L., Mezzich, A., Cornelius, J., Pajer, K., Vanyukov, M., Gardner, W., & Clark, D. (2003). Neurobehavior disinhibition in
childhood predicts early age onset of substance use disorder. American Journal of Psychiatry, 160, 1078-1085.
De Micheli, D., Lucia, M., & Formigoni, O.S. (2004) Drug use by Brazilian students: Associations with family, psychosocial, health,
demographic and behavioral characteristics. Society for the Study of Addiction, 10.111, 1360-0443.
Obando, P., Kliewer, W., Murrelle, L., & Svikis, D. (2004). The comorbidity of substance abuse and depressive symptoms in Costa
Rican adolescents. Drug and Alcohol Dependence, 76, 37-44.
Siewert, S., Stallings, M., Hewitt, J. (2004). Factor structure and concurrent validity of the Drug Use Screening Inventory in a community
adolescent sample. Addictive Behaviors, 29, 627-638.
Tarter, R., Kirisci, L., Habeych, M., Reynolds, M., & Vanyukov, M. (2004). Neurobehavior disinhibition in childhood predisposes boys to
substance use disorder by young adulthood: direct and mediated etiologic pathways. Drug and Alcohol Dependence, 73, 121-132.
Kirisci, L., Vanyukov, M., & Tarter, R. (2005). Detection of youth at high risk for substance use disorder: A Longitudinal Study.
Psychology of Addictive Behaviors, 19, 243-252.
Tarter, R., Vanyukov, M., Kirisci, L., Reynolds, M., & Clark, D. (2006). Predictors of marijuana use in adolescents before and after licit
drug use. Examination of the gateway hypothesis. American Journal of Psychiatry, 163, 2134-2140.
Tarter, R., Kirisci, L., Feske, U., & Vanyukov, M. (2007). Modeling the pathways linking childhood hyperactivity and substance use
disorder in young adulthood. Psychology of Addictive Behaviors, 21, 266-271.
Kirisci, L., Tarter, R., Mezzich, A., & Reynolds, M. (2008). Screening current and future diagnosis of psychiatric disorder using the
revised Drug Use Screening Inventory. American Journal of Drug and Alcohol Abuse, 34, 653-665.

48. Kirisci, L., Tarter, R., & Reynolds, M. (2009). The Violence Proneness Scale predicts outcomes associated with substance abuse.
American Journal on Addictions, 18, 173-177
Fidalgo, T.M., Tarter, R., daSilveira, E.D., Kirisci, L., daSilveira, D.X. (2010). Validation of a short version of the revised Drug Use
Screening Inventory in a Brazillian sample of adolescents. American Journal of Addictions, 19, 364-367.
Kirisci, L., Reynolds, M., & Tarter, R. (2013). Quick screen to detect current substance use disorder in adolescents and likelihood of
disorder. Drug and Alcohol Dependence, 128, 116-122.