computerized version may be ordered for $295 or more, depend<strong>in</strong>g on <strong>the</strong> version.The follow<strong>in</strong>g website can be used to contact <strong>the</strong> author for permission to use<strong>the</strong> MINI or to purchase an electronic version <strong>of</strong> <strong>the</strong> <strong>in</strong>strument: https://www.medical-outcomes.com/<strong>in</strong>dexSSL.htm.61
Appendix G: <strong>Screen<strong>in</strong>g</strong> Instruments forMental <strong>Disorders</strong>Several mental health screen<strong>in</strong>g <strong>in</strong>struments are reviewed <strong>in</strong> this appendix.Without use <strong>of</strong> <strong>the</strong>se <strong>in</strong>struments, mental disorders are <strong>of</strong>ten undetected <strong>in</strong>crim<strong>in</strong>al justice sett<strong>in</strong>gs. As a result, staff are less likely to anticipate suicidalbehavior <strong>and</strong> o<strong>the</strong>r mental health problems, <strong>and</strong> <strong>the</strong> effectiveness <strong>of</strong> treatment isreduced.Beck Depression Inventory-II (BDI-II)The BDI-II (Beck, Steer, & Brown, 1996) is a 21-item self-report <strong>in</strong>strument thatexam<strong>in</strong>es <strong>the</strong> <strong>in</strong>tensity <strong>of</strong> depressive symptoms <strong>and</strong> suicidality. This <strong>in</strong>strument isone <strong>of</strong> <strong>the</strong> most widely used measures <strong>of</strong> depression. The BDI-II was developed tocorrespond to DSM-IV criteria <strong>of</strong> depression, <strong>and</strong> reviews key symptoms <strong>in</strong>clud<strong>in</strong>gagitation, difficulty <strong>in</strong> concentration, feel<strong>in</strong>gs <strong>of</strong> worthlessness, <strong>and</strong> loss <strong>of</strong> energy.Elevated scores on items related to suicidal ideation <strong>and</strong> hopelessness should beattended to carefully, s<strong>in</strong>ce <strong>the</strong>se items are <strong>the</strong> most highly predictive <strong>of</strong> suicidalbehavior. Despite its usefulness <strong>in</strong> screen<strong>in</strong>g for depression <strong>and</strong> suicide, <strong>the</strong> BDI-IIshould not be used <strong>in</strong> diagnos<strong>in</strong>g depression (as reported for <strong>the</strong> BDI-I; Sundberg,1987), which requires a more <strong>in</strong>tensive assessment process.Positive Features•y The BDI-II requires little tra<strong>in</strong><strong>in</strong>g to adm<strong>in</strong>ister or score•y The word<strong>in</strong>g <strong>of</strong> <strong>the</strong> BDI-II is clear <strong>and</strong> concise, <strong>and</strong> <strong>the</strong> measure can becompleted <strong>in</strong> 5–10 m<strong>in</strong>utes•y Only a fifth grade read<strong>in</strong>g level is required to complete <strong>the</strong> BDI-II•y The <strong>in</strong>strument has frequently been used with substance users <strong>and</strong> hasbeen found to be useful <strong>in</strong> screen<strong>in</strong>g <strong>and</strong> assessment <strong>of</strong> depression amongthis population (Buckley, Parker, & Heggie, 2001). For example, <strong>the</strong> BDIhas been found to be among <strong>the</strong> most effective <strong>in</strong>struments <strong>in</strong> detect<strong>in</strong>gdepression among people who abuse alcohol (Weiss & Mir<strong>in</strong>, 1989)•y The BDI has excellent content, convergent, <strong>and</strong> divergent validity (Steer,Beck, & Garrison, 1986), <strong>and</strong> scores from <strong>the</strong> BDI are significantlycorrelated with o<strong>the</strong>r <strong>in</strong>dices <strong>of</strong> depression, <strong>in</strong>clud<strong>in</strong>g <strong>the</strong> Hamilton Rat<strong>in</strong>gScale for Depression (r = .71) <strong>and</strong> <strong>the</strong> Beck Hopelessness Scale (r = .68)•y The BDI has moderately good sensitivity (67%) <strong>and</strong> moderately goodspecificity (69%) <strong>in</strong> diagnos<strong>in</strong>g depression among <strong>in</strong>dividuals with alcoholproblems (Willenbr<strong>in</strong>g, 1986)•y The BDI has higher sensitivity (94%) <strong>and</strong> specificity (59%) than <strong>the</strong>Rask<strong>in</strong> Depression Scale, <strong>the</strong> HAM-D, <strong>and</strong> <strong>the</strong> SCL-90-R (Rounsaville,Weissman, Rosenberger, Wilber, & Kleber, 1979)62
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Screening and Assessmentof Co-Occur
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Screening Instruments for Co-Occurr
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daunting task, and often requires t
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Importance of Screening and Assessm
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•y•y•y•y•y•y•y•y•
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Developing a Comprehensive Screenin
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Gray, B. T. (2001). A factor analyt
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Kessler, R. C., Wittchen, H. U., Ab
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McLellan, A. T., Cacciola, J. S., &
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Nochajski, T. H., & Stasiewicz, P.
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Rollnick, H., Heather, N., Gold, R.
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Teitelbaum L. M., & Mullen, B. (200
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Zimmerman, M., & Sheeran, T. (2003)