While studies have indicated a high co-morbidity of substance abuse in
peoplewith serious mental illness, valida,ld reliable rating scales t
o rate and classify dual-diagnoses are lacking. Drake (Drake et al., 1
990) devised the Alcohol Use Scale for purposes of classifying co-occu
rring addictions among the seriously mentally ill. Initial reliability
and validity studies were promising, but further independent validati
on is needed. The present study examined ratings by the same clinical
observers for the Alcohol Use Scale (Drake er al., 1990) and the subst
ance use questions of the Level of Care survey (Fabisink, Baskin, & Ha
mmer, 1983). Concurrent validity was demonstrated and the implications
for classifying dual-diagnoses are discussed.