Treatment Services Review

Original/alternative title:  TSR


TSR is a 56 items structured interview that assesses the nature and frequency of treatment services provided to patients attending substance abuse and other types of treatment programmes.  A revised version of the TSR (the TSR-6) was developed in 2008 and found to be both reliable and valid. The TSR may be administered weekly to an individual or to a small group of individuals as an interview or as a supervised self-report when the patient has accrued repeated experience in the use of the instrument.

In clinical settings, the TSR can be used to describe the types of services patients receive in a treatment programme. In this way, it is possible to differentiate types of programmes and to determine whether the patient problems presented at admission have been addressed during treatment. In research, the TSR has been used to evaluate different forms of experimental interventions to ensure that they are delivered in the manner originally specified and that they differ from the control or comparison conditions. In addition, the TSR can be used in studies designed to match patients to the treatment programmes or services that benefit from them most.

The TSR focuses on services for seven potential problem areas-medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status-that correspond to the seven patient functioning areas assessed by the Addiction Severity Index.

Additional information

Cacciola JS ; Alterman AI ; Lynch KG ; Martin JM ; Beauchamp ML ; McLellan AT. Initial reliability and validity studies of the revised Treatment Services Review (TSR-6). Drug and Alcohol Dependence 2008;92(1-3):37-47