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Alcohol and Other Drug Outcome Measure (ADOM)

The Alcohol and Other Drug Outcome Measure (ADOM) is a measure for community-based outpatient adult addiction services.


Since July 2015, the Ministry of Health have mandated ADOM collection and reporting for all community-based outpatient adult addiction services. This includes outpatient after-care or continuing care programmes, post-residential or outpatient intensive treatment programmes.

Please see the ADOM guide for addiction practitioners version 5.0 for a detailed description of those services and tāngata whai ora for whom ADOM has been psychometrically tested (and therefore validated) for use.

People accessing services/tāngata whai ora and Alcohol and Other Drug (AOD) practitioners are giving positive feedback about using the Alcohol and Drug Outcome Measure (ADOM).

ADOM provides tāngata whai ora with a way to rate and track key areas of change during their treatment journey. This includes changes in use of alcohol and drugs, lifestyle and wellbeing and satisfaction with treatment progress and recovery.

Tāngata whai ora are supported by addiction practitioners to regularly rate how they are doing and to view the results using the ADOM feedback wheel. The ADOM feedback wheel provides the tangata whai ora and their addiction practitioner with a clear focus for discussing and planning treatment and recovery options.

ADOM tools

The following tools support the use of the Alcohol and Drug Measure (ADOM).

ADOM reports

Since ADOM was mandated for use, services have been reporting ADOM collections into Programme for the Integration of Mental Health Data (PRIMHD).

These collections number in the thousands and can start to give us some insight into what is happening for tāngata whai ora as they start their treatment journey in services, right through to when they leave services.

ADOM reports advisory group

Te Pou coordinates an advisory group to help formulate reports based on aggregated, anonymous data from ADOM. The group assists to validate and clarify ADOM reports and information use at a local and national level. The group operates according to these Terms of Reference.

The ADOM report building rules provide guidance to the addiction sector on the building and production of localised ADOM reports.

Background and research

The development, testing and validation of ADOM was based on a wide range of research.

  • Preliminary work towards validating a draft outcome measure for use in the alcohol and drug sector

    This 2009 report presents findings of a research project - ADOPT Part II - tasked with developing an outcome measurement tool potentially suited for routine use with clients in the New Zealand AOD treatment sector.

  • Refinement and validation of ADOM Part B questions

    This 2013 report describes the results comparing psychometric testing of the revised questions of Part B, Alcohol and Drug Outcome Measure (ADOM) with the original psychometric test results of the same outcome measure.

  • Measuring recovery in adult community addiction services

    This 2015 report looks at the testing and validation of ADOM section 3 recovery questions.

  • Peer support use of ADOM

    This 2019 case study looks at The Salvation Army's implementation of peer support staff using ADOM in their work.

ADOM training

Learn more about ADOM with our training options, including the refresher e-learning module.

For more information

Get support with ADOM, including FAQs, videos and the reflections e-group.

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