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Treatment Services Review (TSR)
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TSR Manual
TSR 14 Day
TSR 30 Day (Welfare-to-Work Version)
Outcome Measure Reports

Description

The TSR was developed to be administered along with the Addiction Severity Index (ASI). In-program and out-program services (treatment provided by referral agencies) used by a client can be measured using this tool. Findings from these data can be used to determine treatment variables that are significant to an individual or group of individuals' clinical outcomes.

Type of Tool

The 87-item tool was developed to be administered by nonprofessional staff and counseling staff in an interview format. This tool can be used with all populations that exhibit enduring substance abuse illness. It is not intended for clients to self-report. A training and scoring manual is available.

Attribution

The tool was developed by McLellan, Cacciola, and Fureman (1996). The tool is in the public domain, so there is no cost for its use.

Reliability and Validity

The TSR has been shown to have good test-retest and inter-rater reliability (McLellan, Alterman, Woody, & Metzger, 1992). Construct and predictive validity have been established (McLellan, Alterman, Woody, & Metzger, 1992; McLellan, Arndt, Woody, & Metzger, 1993).

Administrative Burden

Initial, periodic, and follow-up administration take approximately 5 to 10 minutes to complete.

Performance Measures

  1. Physical health status
  2. Healthcare utilization (treatment program and referral sources, medical and mental health)
  3. Employment status
  4. Support system evaluation
  5. Alcohol/drug use
  6. Self-help utilization (e.g., Alcoholics Anonymous, relapse prevention)
  7. Legal status (including incarceration, illegal activities)
  8. Family status
  9. Mental/emotional status

Click here to download a hard copy of the 14-Day TSR.

Click here to download the TSR Welfare to Work edition.

References

McLellan, A. T., Alterman, A. L., Woody, G. E., & Metzger, D. (1992). A quantitative measure of substance abuse treatments: The treatment services review. Journal of Nervous and Mental Disorders, 181, 100109.

McLellan, A. T., Arndt, I. O., Woody, G. F., & Metzger, D. (1993). Psychosocial services in substance abuse treatment? A dose-ranging study of psychosocial services. Journal of the American Medical Association, 269, 19531959.

McLellan, A. T., Cacciola, J. S., & Fureman, I. (1996). The Addiction Severity Index (ASI) and Treatment Services Review (TSR). In L. I. Sederer & B. Dickey (Eds.), Outcomes assessment in clinical practice. Baltimore: Williams & Wilkins.

 

 


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