Addiction Screening Assessment Tool Chart-Week 4 PDF

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Addiction and Substance Chart, this can be very useful, because some of the information is hard to find....

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Hillary Allen

Topic 4: Addiction Screening and Assessment Tools Chart Directions: Compete the following chart. An example has been provided for you in the first row. Include in-text citations in the table as well as an APA style reference listing below. A minimum of two to three scholarly references should be included per tool. Addiction Assessment Tool

Tool Description

Appropriateness of Use

Include the full name, description of the tool, and what the tool measures (i.e., opioids, process, withdrawal)

Type of tool (paper, pen, structured, unstructured), how it is administered, how many questions, and general scoring information

When/where the tool is appropriate or inappropriate to use, where the tool will most likely be used (i.e., online, in-patient, outpatient, clinic), and what specific population the tool is used for (i.e., adolescents, elderly, pregnant.)

CAGE Questionnaire A brief 4 item widely used questionnaire designed to assess alcohol use. CAGE is acronym for: C = Cut down A = Annoyed G = Guilty E = Eye opener

Paper and pen or orally administered Takes less than 1 minute, Yes or No response Typically administered by health care professional or clinician and is client’s self- report, scored by tester CAGE Questionnaire-4 questions 1. Have you ever felt you should Cut down on your drinking? 2.

Have people Annoyed you by criticizing your drinking?

3.

Have you ever felt bad or Guilty about your drinking?

4.

Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)?

Scoring: Item responses on the CAGE are scored as 0 or 1. A higher score is an indication of alcohol problems. A total score of 2 or greater is clinically significant (Ewing, 1984; NIAAA, 2002)

 Often used in medical settings  Several adaptations of tool available for use including computerized and self- administered versions.  Free, in public domain and translated into many languages  Not used to assess for drugs but adapted CAGE-AID questionnaire can be used for drug use.  Best use is in adult populations  Criticism of the CAGE- not gender-sensitive. Women who are problem drinkers less likely to screen positive than men.  It identifies alcohol-dependent persons but may not identify binge drinkers.  CAGE asks about "lifetime" experience rather than current drinking. A person who no longer drinks may screen positive unless the clinician

© 2018. Grand Canyon University. All Rights Reserved.

Hillary Allen

Addiction Assessment Tool

Tool Description

Appropriateness of Use

Include the full name, description of the tool, and what the tool measures (i.e., opioids, process, withdrawal)

Type of tool (paper, pen, structured, unstructured), how it is administered, how many questions, and general scoring information

When/where the tool is appropriate or inappropriate to use, where the tool will most likely be used (i.e., online, in-patient, outpatient, clinic), and what specific population the tool is used for (i.e., adolescents, elderly, pregnant.) directs the questions to focus on a more current time frame (ADAI, 2016).

1.ASUS Questionnaire: - A 64-item self-report survey used to examine a person’s perceptions of alcohol and other drug use. A- Adult S- Substance

Orally administered or self-administered with paper and pencil. Time required to administer: 810 minutes, less than 5 minutes to score. Scored by tester, no computerized scoring or interpretation available (SAFERR, n.d.).

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A useful tool for determining if a client can disclose information openly and honestly, or whether perceptual defensiveness is distorting information.

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This screen can also be re-administered throughout the treatment process to se if client’s defensiveness has lessened and if the individual’s perceptions of their substance use and its effects have altered (Gil et al., 2004)

Orally administered, pencil and paper, selfadministered, or interviewed. Time required: 2 minutes.

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Target population: Adults

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Primary care, emergency room, surgical, and psychiatric patients; DWI offenders, criminals in court, jail, and prison; enlisted males in the Armed Forces; and workers encountered in employee assistance programs and industrial settings are all good candidates for an AUDIT screening program (NIH, n.d.).

U- Use S-Survey 2. AUDIT Questionnaire: This tool is a simple and effective way for detecting dangerous or hazardous alcohol intake, as well as any alcohol use disorder. A- Alcohol U- Use D- Disorders I- Identification T- Test

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AUDIT: is a 10-item screening questionnaire that includes 3 questions on the amount and frequency of drinking, 3 questions about alcohol dependence, and 4 questions about alcohol-related issues (NIH, n.d.).

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AUDIT: Scored by hand

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AUDIT: the screening approach is linked to a decision-making process that may include brief intervention for heavy drinkers or

© 2018. Grand Canyon University. All Rights Reserved.

Hillary Allen

Addiction Assessment Tool

Tool Description

Appropriateness of Use

Include the full name, description of the tool, and what the tool measures (i.e., opioids, process, withdrawal)

Type of tool (paper, pen, structured, unstructured), how it is administered, how many questions, and general scoring information

When/where the tool is appropriate or inappropriate to use, where the tool will most likely be used (i.e., online, in-patient, outpatient, clinic), and what specific population the tool is used for (i.e., adolescents, elderly, pregnant.)

referral to specialized treatment for patients who exhibit signs of more significant alcohol use. The Clinical Screening Procedure is another aspect of the AUDIT.

3. CRAFFT Questionnaire: This tool is a quick and easy-to-use health screening tool for kids ages 12 to 21 to detect substance abuse, substance-related riding/driving risk, and substance use disorder.

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AUDIT: The Clinical Procedure Screening Procedure DOES NOT specifically address alcohol-related issues, but it may be useful for defensive patients in settings when alcoholspecific queries are difficult to ask with confidence.

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Orally, pencil and paper, or self-administered. Time required: less than 1 minute “yes/no answers”.

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Scored by tester (2 or more “yes” answers, indicates the individual should have a second opinion. o

“Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or had been using alcohol or drugs?”

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The CRAFFT tool screens for both alcohol and drug problems.

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The CRAFFT tool focuses on risky drinking rather than abuse or dependent diagnosis.

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The CRAFFT tool is meant to see if a more in-depth discussion regarding the context of usage, frequency, and other hazards and repercussions of alcohol and other drug use is necessary (CRAFFT, n.d.).

© 2018. Grand Canyon University. All Rights Reserved.

Hillary Allen

Addiction Assessment Tool

Tool Description

Appropriateness of Use

Include the full name, description of the tool, and what the tool measures (i.e., opioids, process, withdrawal)

Type of tool (paper, pen, structured, unstructured), how it is administered, how many questions, and general scoring information

When/where the tool is appropriate or inappropriate to use, where the tool will most likely be used (i.e., online, in-patient, outpatient, clinic), and what specific population the tool is used for (i.e., adolescents, elderly, pregnant.)

4. MAST Questionnaire:



A tool for looking for sequences in biological sequence database that contain one or more of a set of identified motifs.

o

“Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in”?

o

Do you ever use alcohol or drugs while you are by yourself, or ALONE”?

o

Do you ever FORGET things you did while using alcohol or drugs”?

o

Do your FAMILY or FRIENDS ever tell you that you should cut down on your drinking or drug use”?

o

Have you ever gotten into TROUBLE while you were using alcohol or drugs” (CRAFFT, n.d.)?

Orally, pen and pencil, or interview. Time required: 10 minutes. Administered by staff or self. ‘True’ or ‘False’ Answers.

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M-Michigan

Scoring:  Scored by staff

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A- Alcohol

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S- Screening

Calculates the total number of points for each answer type.

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T-Test

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5 points or more: probability for substance

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The MAST tool should not utilize to selfdiagnose an issue.

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The MAST focuses solely on alcohol, it must be used in conjunction with a drug-screening tool like the DAST.

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The MAST tool was constructed around men’s experiences of alcohol abuse, this does not apply equally towards women (Capuzzi & Stauffer, 2016).

© 2018. Grand Canyon University. All Rights Reserved.

Hillary Allen

Addiction Assessment Tool

Tool Description

Appropriateness of Use

Include the full name, description of the tool, and what the tool measures (i.e., opioids, process, withdrawal)

Type of tool (paper, pen, structured, unstructured), how it is administered, how many questions, and general scoring information

When/where the tool is appropriate or inappropriate to use, where the tool will most likely be used (i.e., online, in-patient, outpatient, clinic), and what specific population the tool is used for (i.e., adolescents, elderly, pregnant.)

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4 points: suggestive

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3 or less: considered normal (MAST assessment, 2021)

5.TWEAK Questionnaire: A five-item assessment originally designed to detect risky drinking during pregnancy. T- Tolerance W- Worried

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TWEAK is designed as an interview; no paper and pencil are used by respondent.

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Time required: 2 minutes

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Administered by professionals or technician

E- Eye Opener

Scoring:  Time required: 2-3 minutes

A- Amnesia

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Scored by Health Care Professional

K- K/Cut Down

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Scored on a 7-point scale

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The TWEAK tool consists of five questions intended to detect dangerous drinking behaviors in pregnant women.

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The TWEAK tool consists of questions about tolerance and amnesia from both CAGE and MAST.

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TWEAK is used in general population samples, outpatient samples, hospital inpatients, and emergency room patients, a DSM-III-R diagnostic of alcohol abuse or dependence was used to screen for harmful drinking and a DSM-III-R diagnosis of alcohol abuse or dependence (Chan et al., 1993).

© 2018. Grand Canyon University. All Rights Reserved.

Hillary Allen

References Capuzzi, D., & Stauffer, M. (2016). Foundation of addictions counseling (3rd ed.). Pearson. https://gcumedia.com/digitalresources/pearson/2016/foundations-of-addictions-counseling_ebook_3e.php. Chan, A. W., Pristach, E. A., Welte, J. W., & Russell, M. (1993). Use of the TWEAK test in screening for alcoholism/heavy drinking in three populations. Alcoholism: Clinical and Experimental Research, 17(6), 1188–1192. Edited by Editorial StaffLast Updated: June 15, 2021. (2021, June 15). MAST assessment: The Michigan Alcohol Screening Test (25 Questions). American Addiction Centers. https://americanaddictioncenters.org/alcoholism-treatment/mast-alcohol-assessmenttest. Get the CRAFFT. CRAFFT. (n.d.). https://crafft.org/get-the-crafft/. Gil, A. G., Wagner, E. F., & Tubman, J. G. (2004). Associations between early-adolescent substance use and subsequent young-adult substance use disorders and psychiatric disorders among a multiethnic male sample in South Florida. American journal of public health, 94(9), 1603-1609. U.S. Department of Health and Human Services. (n.d.). Alcohol use disorders identification test (audit). National Institute on Alcohol Abuse and Alcoholism. https://pubs.niaaa.nih.gov/publications/audit.htm.

© 2018. Grand Canyon University. All Rights Reserved.

Hillary Allen

© 2018. Grand Canyon University. All Rights Reserved....