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Instruments & Reports

Below are brief descriptions of each GAIN instrument. Click each instrument name for more details, including watermarked versions and sample reports. You may also learn more by reviewing our Instrument comparison.
A GAIN License is required to access unwatermarked versions and supplemental materials.

GAIN Initial (GAIN-I)
The GAIN Initial is a comprehensive biopsychosocial assessment used for detailed treatment planning. It provides ASAM information and DSM-IV diagnoses and meets common reporting requirements (CARF, JCAHO, insurance, CDS/TEDS, Medicaid, CSAT, NIDA) for assessment, diagnosis, placement, treatment planning, performance and outcome monitoring, economic analysis, and program planning.

GAIN-Q3
The GAIN-Q3 is a multipurpose assessment used to identify and address a wide range of life problems among adolescents (ages 12 and up) and adults in both clinical and general populations. The heart of the GAIN-Q3 is a brief assessment that includes screeners on the recency and frequency of behavior and service utilization in nine areas: school, work, stress, physical health, HIV risk behaviors, mental health (internalizing and externalizing disorders) substance use, and crime and violence. The overall aim of the GAIN-Q3 is to quickly sort people entering or being screened for services into three groups: 

• Those who do not appear to have problems in need of attention
• Those who appear to have mild problems that can be addressed in a brief intervention
• Those whose results indicate the need for a more detailed assessment or specialized treatment
  

For participants whose results indicate mild problems, the GAIN-Q3 system provides the means to conduct a brief intervention based on the principles of motivational interviewing.

GAIN Short Screener (GAIN-SS)
The GAIN-SS is designed for use with general populations of adolescents and adults to quickly and accurately identify people who would be flagged on the comprehensive GAIN-I as having a clinical disorder, such as a drug dependency or a mental disorder. The GAIN-SS is a much shorter instrument, totaling only two pages. It contains one total scale that is comprised of four scales for internalizing disorders, externalizing disorders, substance use disorders, and crime and violence. The subscales are based on a series of explanatory and confirmatory factor analyses of psychiatric symptoms and disorders among clinical samples. The administration time is about five minutes.

The GAIN Treatment Satisfaction Index (TxSI)
The GAIN Treatment Satisfaction Index is a standalone instrument used to measure early engagement and participant satisfaction with a current treatment episode. It is a 14-item index using a five-point agreement scale that was developed as part of the GAIN. It is included in the GAIN-I and GAIN-M90 instruments as a series of dichotomous items (as the Treatment Satisfaction Scale), but it is available as a standalone instrument as well.