Screeners

Question 1

CIWA-Ar

Answer 1

Clinical Institute Withdrawal Assessment for Alcohol, Revised (Alcohol Withdrawal Severity)

Question 2

COWS

Answer 2

Clinical Opiate Withdrawal Scale

Question 3

SOWS

Answer 3

Subjective Opiate Withdrawal Scale

Question 4

CINA

Answer 4

Clinical Institute Narcotic Assessment

Question 5

FTND

Answer 5

Fagerstrom Test of Nicotine Dependence

Question 6

SF-12

Answer 6

12 Item Short Form Health Survey

Question 7

PSQI

Answer 7

Pittsburgh Sleep Quality Index (PSQI)

Question 8

PROMIS

Answer 8

Patient-Reported Outcomes Measurement Information Systems (Pain interference with functioning)

Question 9

PHQ-9

Answer 9

Patient Health Questionnaire (Depression)

Question 10

GDS

Answer 10

Geriatric Depression Scale

Question 11

GAD-7

Answer 11

General Anxiety Disorder-7

Question 12

C-SSRS

Answer 12

Columbia-Suicide Severity Rating Scale

Question 13

WHODAS 2.0

Answer 13

WHO Disability Assessment Schedule (functioning)

Question 14

McCA

Answer 14

Montreal Cognitive Assessment

Question 15

OSU TBI- ID

Answer 15

Ohio State University TBI Identification Method

Question 16

BAM

Answer 16

Brief Addiction Monitoring (Recover risk and protective factors)

Question 17

VAS

Answer 17

Visual Analog Scale (Substance Craving)

Question 18

RIOSORD

Answer 18

Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression

Question 19

BARC-10

Answer 19

Brief Assessment of Recovery Capital-10

Question 20

SOCRATES

Answer 20

Stages of Change Readiness and Treatment Eagerness Scale

Question 21

PRAPARE

Answer 21

Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (Barriers to Care)

Question 22

CUDIT-R

Answer 22

Cannabis Use Disorder Identification Test

Question 23

SDS

Answer 23

Severity Dependence Scale (5 questions, severity of dependence on drugs)

Question 24

SBIRT

Answer 24

Screening Brief Intervention and Referral to Treatment

Question 25

CRAFFT

Answer 25

Identifies Substance Use Disorder in ages 12-21 (Car, Relax, Alone, Forget, Family/Friends, Trouble)

Question 26

TAPS Tool

Answer 26

Tobacco, Alcohol, Prescription Medication, and Other Substance Use

Question 27

5 P’s

Answer 27

Prenatal Substance Abuse Screen for Alcohol and Drugs