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Texas Christian University Brief Intake, the Comprehensive Intake, and Intake for Women and Children: These
instruments are available electronically and are administered by a counselor. The seven problem areas in the
Brief Intake Interview were derived from the ASI: drug, alcohol, medical, psychological, employment, legal,
and family/social. Scoring is immediate, and the program generates a one-page summary of the client’s
functioning in 14 domains (Joe et al. 2000). The Comprehensive Intake has an online version for women
(Simpson and Knight 1997; For review, visit:
http://www.utexas.edu/research/cswr/nida/instrumentListing.html).
Since women are more likely to experience greater consequences earlier than men, using an instrument that
highlights specific consequences of use is crucial.
Drinker Inventory of Consequences (DrinC): This measurement is a self-administered 50-item, true-false
questionnaire that elicits information about negative consequences of drinking in five domains: physical,
interpersonal, intrapersonal, impulse control, and social responsibility (Miller et al. 1995). This instrument has
normative data for women, men, inpatient and outpatient, and has good psychometric properties. Since women
are more likely to experience greater consequences earlier than men, using an instrument that highlights specific
consequences of use is crucial. A version that assesses drug use consequences is also available (Tonigan and
Miller 2002). For a copy of the assessment tool, scoring, and gender profile in interpreting severity of lifetime
consequences, see Appendix C.
Measurements of spirituality and religiousness
Spirituality and religion play an important role in culture, identity, and health practices (Musgrave et al. 2002).
In addition, people are likely to embrace different coping strategies (including emotional outlets and religion) to
assist in managing life stressors (Dennerstein 2001). Practices such as consulting religious leaders or spiritual
healers (curanderas, medicine men) and attending to spiritual activities (including sweats and prayer
ceremonies, praying to specific saints or ancestors) are common. The consensus panel believes it is important
that programs assess the spiritual and religious beliefs and practices of the individual and incorporate this
component into their treatment with sensitivity and respect.
A challenge in determining the effect of spirituality on treatment outcomes is how to assess the extent and
nature of a person’s spirituality or religiousness. Several assessment tools are available; however, they are more
often used for research. They include, but are not limited to, the Religious Practice and Beliefs measurement
(CASAA 2004), a 19-item self-assessment tool that reviews specific activities associated with religious
practices; the Multidimensional Measure of Religiousness/Spirituality, an assessment device that examines
domains of religious or spiritual activity such as daily spiritual experiences, values and beliefs, and religious and
spiritual means of coping (Fetzer Institute 1999); and the Spiritual Well-Being Scale, a 20-item scale that
examines the benefits of spirituality for African-American women in recovery from substance abuse (Brome et
al. 2000).
Health Assessment and Medical Examination with women
Because women develop serious medical problems earlier in the course of alcohol use disorders than men, they
should be encouraged to seek medical treatment early to enhance their chances of recovery and to prevent
serious medical complications. Health screenings and medical examinations are essential in women’s treatment.
In particular, women entering substance abuse treatment programs should be referred for mental health,
medical, and dental examinations. In many cases, they may not have had adequate health care because of lack of
insurance coverage or transportation, absence of child care, lack of time for self-care, chaotic lifestyle related to
a substance abuse, or fear of legal repercussions or losing custody of children. The acute and chronic effects of

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