Assessment Forms

Click the name of the form below to display more information. Most entries include links for more information or to download a sample of the form.

Assessment Forms

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McLellan AT, Kushner H, Metzger D, Peters R, Smith I, Grissom G, Pettinati H, Argerious M. The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment. 1992;9:199-213.

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Lejuez, C.W., Read, J.P., Kahler, C.W., Richards, J.B., Ramsey, S.E., Stuart, G.L., Strong, D.R., Brown, R.A.. (2002). Evaluation of a behavioral measure of risk taking: the Balloon Analogue Risk Task (BART). J Exp Psychol Appl. 2002 Jun;8(2):75-84

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Patton, J.H., Stanford, M.S., Barratt E.S. (1995). Factor structure of the Barratt impulsiveness scale. J Clin Psychol. Nov;51(6):768-74.

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Developed based on study needs.

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Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67, 319–333.

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Derogatis, L. R. & Melisaratos, N. (1983) The Brief Symptom Index: An introductory report, Psychological Medicine, 13, 595-605.

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Robbins TW, James M, Owen AM, Sahakian BJ, Lawrence AD, McInnes L, Rabbitt PM. A study of performance on tests from the CANTAB battery sensitive to frontal lobe dysfunction in a large sample of normal volunteers: implications for theories of executive functioning and cognitive aging. Cambridge Neuropsychological Test Automated Battery. J Int Neuropsychol Soc. Sep 1998;4(5):474-490

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Litt MD, Kadden RM, Cooney NL, Kabela E. Coping skills and treatment outcomes in cognitive-behavioral and interactional group therapy for alcoholism. J Consult Clin Psychol. 2003;71:118–28. 

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Simons SS, Racluca MG. The Distress Tolerance Scale: Development and Validation of a Self-Report Measure. Motivation and Emotion, Vol. 29, No. 2, June 2005

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Developed based on study needs.

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Developed based on study needs.

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Cohen, S., Kamarck, T., & Mermelstein, R., "A Global Measure of Perceived Stress," in Journal of Health and Social Behavior, 24 (1983), 385-396.

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Jofre-Bonet M, Sindelar JL, Petrakis IL, Nich C, Frankforter T, Rounsaville BJ, Carroll KM. Cost effectiveness of disulfiram: treating cocaine use in methadone-maintained patients. J Subst Abuse Treat. Apr 2004;26(3):225-232

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Johnson MW. An efficient operant choice procedure for assessing delay discounting in humans: Initial validation in cocaine-dependent and control individuals. Exp Clin Psychopharmacol. 2012;20(3):191-204

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World Health Organization Quality of Life Group. Development of the World Health Organization WHOQOL-BREF quality of life instrument. Psychol Med. 1998;28(3):551-558

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Navaline HA, Snider EC, Petro CJ, Tobin D, Metzger D, Alterman AI, Woody GE. An automated version of the Risk Assessment Battery (RAB): Enhancing the assessment of risk behaviors. AIDS Research and Human Retroviruses. 1994;10 (supplement 2):281-283.

Serious Adverse Event Entry Form - Download the form

Serious Adverse Event Reporting Form Addendum - Download the form

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Zachary RA. The Manual of the Shipley Institute of Living Scale. Los Angeles: Western Psychological Services; 1991.

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Kendall PC, Finch AJ, Jr., Auerbach SM, Hooke JF, Mikulka PJ. The State-Trait Anxiety Inventory: a systematic evaluation. J Consult Clin Psychol. Jun 1976;44(3):406-412

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First, M. B., Spitzer, R. L., Gibbon, M. & Williams, J. B. W. (1995) Structured Clinical Interview for DSM-IV, Patient Edition. (Washington, D.C., American Psychiatric Press).

Substance Use for Pretreatment Phase - Download the form

Substance Use for Active Study Phase - Download the form

Substance Use for Follow-up - Download the form

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Robinson SM, Sobell LC, Sobell MB, Leo GI. Reliability of the Timeline Followback for Cocaine, Cannabis, and Cigarette Use. Psychol Addict Behav. Dec 31 2012.