Adequacy of the Comprehensive Clinical Evaluation Program: A Focused Assessment (1997)
Chapter: Appendix I
Appendix I
Screening Instruments for Substance Abuse
CAGE
- Have you tried to cut down on your drinking or use?
- Do you get annoyed by others' comments about your drinking or use?
- Do you ever feel guilty about your drinking or use?
- Do you ever take an eye opener in the morning to get going?
Brief MAST
- Do you feel you are a normal drinker?
- Do friends or relatives think you are a normal drinker?
- Have you ever attended a meeting of Alcoholics Anonymous (AA)?
- Have you ever lost friends or girlfriends/boyfriends because of drinking?
- Have you ever neglected your obligations, your family, or work for 2 or more days in a row because you were drinking?
- Have you ever had delirium tremens (DTs), severe shaking, or seen things that weren't there after heavy drinking?
- Have you ever gone to anyone for help about your drinking?
- Have you ever been in a hospital because of drinking?
- Have you ever been arrested for drunk driving or driving after drinking? (Pokotny et al., 1972)
T-ACE
|
T |
TOLERANCE: How many drinks does it take to make you feel high? |
|
A |
Have people ANNOYED you by criticizing your drinking? |
|
C |
Have you ever felt you ought to CUT down on your drinking? |
|
E |
EYE OPENER: Have you ever had a drink first thing in the morning? |
|
Two or more positive responses indicate that the woman is likely to have an alcohol problem (Sokol et al., 1989). |
|
TWEAK
|
T |
TOLERANCE: How many drinks can you hold? |
|
W |
Have close friends or relatives WORRIED or complained about your drinking in the past year? |
|
E |
EYE OPENER: Do you sometimes take a drink in the morning when you first get up? |
|
A |
AMNESIA: Has a friend or family member ever told you about things you said or did while you were drinking that you could not remember? |
|
K (C) |
Do you sometimes feel the need to CUT down on your drinking? |
|
A 7-point scale is used to score the test. The tolerance question scores 2 points if the woman reports she can hold more than five drinks without falling asleep or passing out. A positive response to the WORRIED question scores 2 points, and a positive response to the last three questions scores 1 point each. A total score of 2 or more points indicates that the woman is likely to have an alcohol problem (Russel et al., 1993). |
|
AUDIT
- How often do you have a drink containing alcohol?
- How many drinks containing alcohol do you have on a typical day when you are drinking?
- How often during the last year have you found that you were unable to stop drinking once you started?
- How often during the last year have you failed to do what was normally expected from you because of drinking?
- How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
- How often during the last year have you had a feeling of guilt or remorse after drinking?
- How often during the last year have you been unable to remember what happened the night before because you had been drinking?
- Have you or someone else been injured as the result of your drinking?
- Has a relative, friend, doctor, or other health worker been concerned about your drinking or suggested you cut down?
