screening and diagnosis

Alcohol Use Disorders Identification Test (AUDIT)

Description: 
The 10-question Alcohol Use Disorders Identification Test (AUDIT) was developed by the World Health Organization (WHO) specifically for primary care settings as a screen for detecting at-risk or hazardous drinking. A shorter version of the AUDIT also is used in primary care and consists of the first 3 questions of the AUDIT. Note: The AUDIT manual from WHO suggests adjusting Question 3 based on the size of the standard drink in the country where it will be used. The U.S. standard drink is now 14 grams, therefore many clinicians are now using 4 drinks rather than 6 drinks in Question 3; alternatively, have the patient refer to a diagram showing the standard drink size.

1. How often do you have a drink containing alcohol?

___ never (0 point)

___ less than monthly / monthly (1 point)

___ 2-4 times/month (2 points)

___ 2-3 times/week (3 points)

___ 4 or more times/week (4 points)

2. How many standard drinks containing alcohol do you have on a typical day drinking?

___ 1 or 2 (0 point)

___ 3 or 4 (1 point)

___ 5 or 6 (2 points)

___ 7 or 9 (3 points)

___ 10 or more (4 points)

3. How often do you have six or more drinks on one occasion?

___ never (0 point)

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Description: 
Recognizing alcohol problems in primary care
Source: 
RAND
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CRAFFT

Description: 
CRAFFT Questionaire

The CRAFFT is specifically intended for adolescents who may be using alcohol and/or other drugs. This screening tool asks about situations that suit adolescents under the age of 21. This instrument takes about 5 minutes to administer, making it an excellent tool for a primary care provider.
Evidence

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Description: 
The NIDA quick screen is an online screening tool for substance abuse filled out by the patient. Based on the patient's responses, it generates a substance involvement score that suggests the level of intervention needed. This is the short, online version of the longer screening tool, the NIDA Modified ASSIST.
Source: 
NIDA
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Description: 
This screening tool guides clinicians through a short series of questions and generates a substance involvement based on the patient's responses. A link to the NIDA Quick Screen version is available online on this page as well as a link to the longer, NIDA-Modified ASSIST for printing. The tool also provides links to resources for conducting a brief intervention and treatment referral.
Source: 
National Institute on Drug Abuse
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Description: 
Resources for medical and health professionals on drug abuse and addiction, including general information, treatment and prevention, clinical tools, and a screening tool. Resources for patients are also available, including information in Spanish.
Source: 
National Institute on Drug Abuse
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