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About GAIN

GAIN Progressive Approach to Assessment
The Global Appraisal of Individual Needs (GAIN) originated in 1993 as a collaborative effort between clinicians, researchers, and policymakers to create a comprehensive and standardized biopsychosocial assessment tool.
Dr. Michael Dennis, senior research psychologist and director of the GAIN Coordinating Center, led this project
through the development of the GAIN Initial (GAIN-I). His goal was to bridge the gap between clinical research
and the growing movement toward evidence-based practice.  

The GAIN has developed into a progressive and integrated family of instruments with a series of measures and computer applications designed to support a number of treatment practices, including:

  • Initial screenings (GAIN-SS)
  • Brief interventions and referrals (GAIN-Q3)
  • Standardized clinical assessments for diagnosis, placement, and treatment planning (GAIN-I)
  • Monitoring change in clinical status, service utilization, and costs to society (GAIN-M90)
  • Subgroup and program-level needs assessment, evaluation, and secondary analysis 

The GAIN family of instruments is appropriate for use with both adolescents and adults from a variety of
populations in various levels of care. Some of these include:

  • Outpatient
  • Intensive outpatient
  • Short-term residential
  • Long-term residential
  • Therapeutic community
  • Justice programs
  • School-based programs
  • Welfare programs
  • Co-occurring disorder programs
  • Primary health care programs

Those interested in adopting the GAIN are encouraged to read more information about our instruments, licensing,
and implementation. Please contact our GAIN Project Coordination Team for additional information or assistance, or review our GAIN overview for more details.