Screening Tools Flashcards
Alcohol Use Disorders Identification Test (AUDIT).
The 10 items on this instrument developed by the World Health Organization ask about frequency of
drinking, alcohol dependence, and problems caused by alcohol. Scores range from
0 to 40, with a score of 8 or higher indicating the likelihood of harmful alcohol
consumption.
CAGE
An answer of yes to one or more questions indicates the possibility of alcohol dependence. The four questions are “Have you ever felt you should cut down on your drinking?” “Have people ever annoyed you by criticizing your drinking?” “Have you ever felt bad or guilty about your drinking?” or “Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (eye opener).
DAST
Drug Abuse Screening Test (DAST). Adapted from the MAST (described
below), this self-report instrument is used to detect abuse of or dependence on
drugs other than alcohol. It provides a measure of lifetime problem severity.
MAST
Michigan Alcoholism Screening Test (MAST). This instrument requires yes/no
answers to 25 questions. Scores indicate the absence of alcohol dependence
(0 to 3), possible substance dependence (4), or likely alcohol dependence (5 or higher).
A Brief MAST (10 items) and a 13-item Short MAST (SMAST) are available, as
is a Geriatric MAST (MAST-G).
RAPS4
Rapid Alcohol Problems Screen (RAPS4). An answer of yes to one or more
questions indicates the possibility of alcohol dependence during the past year. The
questions have to do with remorse, amnesia, performance of life duties, and
starting the day with alcohol.
SASSI
Substance Abuse Subtle Screening Inventory (SASSI) 3. This brief self-report is
designed to identify individuals with a high probability of having a substance
related disorder. A version designed for adolescents, the SASSI-A2 is for clients
ages 12 to 18.
TWEAK
TWEAK. This five-item instrument was designed to screen for harmful drinking
in pregnant women. The items have to do with tolerance, worry of close friends
and relatives, using alcohol as an eye opener, amnesia (blackouts), and felt need
to cut down on drinking.
TLFB
The following Comprehensively Measures of Drinking:
Time Line Follow Back (TLFB) Procedure. This instrument makes connections between significant events in the client’s life and alcohol/drug use patterns and intensity, for the past year. It includes a calendar and a standard drink conversion chart to aid memory. It may be particularly useful in working with elderly clients (Kinney, 2003, p. 416).
Diagnostic Instruments
ADS
DIS-V
ICS
Alcohol Dependence Scale (ADS). This 25-item instrument provides a
quantitative measure of the severity of alcohol dependence.
Diagnostic Interview Schedule (DIS-IV) Alcohol Module. The 28 questions
permit diagnosis of alcohol abuse or dependence
Impaired Control Scale (ICS). This pencil and paper self-administered
instrument measures clients’ attempts to control their drinking during the last 6
months and their perception of their ability to control it now.
Instruments to Aid Treatment Planning
ASI
AUI
CBI
Addiction Severity Index (ASI). This is a semi-structured interview with seven
subscales addressing problems in the areas of family/social status, medical status,
employment and support, drug use, alcohol use, legal status, and psychiatric
status. It is useful for treatment planning and outcome evaluation with adult
clients.
Alcohol Use Inventory (AUI). This self-report inventory is in multiple-choice
format, for ages 16 and above. It is based on the multiple condition theory, which
takes into account individuals’ different styles of drinking, perceptions of
alcohol’s benefits and consequences, and how they want to deal with drinking
problems.
Coping Behaviours Inventory (CBI). This instrument measures factors that are
related to relapse risk: positive thinking, negative thinking, avoidance/distraction,
and seeking social supports.
Measures for psychological issues other than SA. Many times Counselor will not administer them but must be familiar
WAIS III MMPI-2 MENTAL STATUS MBTI BECK INVENTORY
The Wechsler Adult Intelligence Scale (WAIS III) - a popular intelligence test.
The Strong Interest Inventory- a vocational interest scale that compares clients’
interests to those of people who are happy in different occupations.
The Minnesota Multiphasic Personality Inventory (MMPI-2) - a personality
inventory that contains several clinical scales that detect pathology. The MMPI-2
contains the MacAndrew Alcoholism Scale, which indirectly screens for alcohol
problems by identifying attitudes that often accompany alcohol use.
The Mental Status Exam - a series of observations about a client’s appearance,
behavior, attention, mood, affect, perceptual and thought processes, judgment,
and memory at a given point in time. It includes observations of a client’s
orientation to time, place, and person.
The Myers-Briggs Type Indicator (MBTI) - a personality inventory that looks at
clients’ preferred ways of being in the world, and assigns them to 1 of 16
personality types. It does not detect pathology. It is frequently used in vocational
and relationship counseling.
The Beck Depression Inventory II - is for clients age 13 and older. Individuals rate
themselves on 21 groups of statements that tap the affective, behavioral,
cognitive, and physiological symptoms of depression for the 2 weeks prior to
testing. It is sensitive to changes over short periods of time, so it can be used
repeatedly to track changing levels of depression over the course of treatment.
Scores are interpreted as indicating minimal (0 to 13), mild (14 to 19), and moderate
(20 to 28), or severe (29 to 63) depression.
Instruments used to assess suicide risk
3
- The Suicide Assessment Checklist
- The Suicide Intent Scale
- The SAD PERSONS Scale
Provides scores on 3 scales that indicate motivation to change drinking behavior
Stages of Change Readiness and Treatment Eagerness Scale
SOCRATES
Tools used to assess families
2
The Family Tree Questionnaire (FTQ) - helps clients report information about the
incidence of alcohol problems in their blood relatives. Clients assign relatives to
categories of drinker groups such as never drank, social drinker, possible problem
drinker, and definite problem drinker.
Genogram - is a pictorial representation of family structure, usually at least three
generations, using a standard set of symbols (e.g., squares for males and circles for
females). The client and counselor construct the genogram together and use it to aid
exploration of behaviors and issues.
Level Of Care Utilization System
LOCUS
The LOCUS is based on a set of parameters that an individual is scored along. The level of care is determined based on the mix of parameters that each client has. These parameters are:
Risk of Harm Functional Status Medical, Addictive and Psychiatric Co-morbidity Recovery Environment Treatment and Recovery History Engagement and Recovery Status
Used to assess immediate service needs
To plan resources needed over time
To monitor changes in status or placement at diff points in time
