These screening tools are designed for clinical use in diagnosing alcohol use disorder and, in some cases, determining the severity of the disorder.
SBIRT (Screening, Brief Intervention, and Referral to Treatment) is an evidence-based clinical tool designed to facilitate early intervention and treatment for people who are experiencing, or are at risk of developing, alcohol and substance use disorders. Administered by physicians and other healthcare professionals, SBIRT screening consists of questions that quickly assess the severity of substance use and identify the appropriate level of treatment when needed.
AUDIT-C is a three-item, self-report questionnaire developed by a World Health Organization (WHO) initiative to help identify patients who are hazardous drinkers or have active alcohol use disorders. The AUDIT-C is a shortened version of the 10-question AUDIT instrument. The additional seven questions of the full AUDIT can be asked to further explore drinking habits if warranted.
CAGE is a screening tool used to identify problem drinking and potential alcohol problems. It takes less than a minute to administer. The acronym CAGE is derived from the tool’s four questions and intended to make it easy to remember: Cut down, Annoyed, Guilty, and Eye-opener.
MAST (Michigan Alcohol Screening Test) is a 25-question self-scoring test that helps people assess whether they have a drinking problem.
TAPS (Tobacco, Alcohol, Prescription Medications, and Substance Use/Misuse) is a brief screening and assessment instrument to identify patients with problematic substance use or a substance use disorder to facilitate brief interventions and referrals to appropriate treatment. TAPS is a relatively new tool and studies are being conducted to determine its utility.
The Addiction Severity Index (ASI) is a semi-structured interview designed to address seven potential problem areas in substance-abusing patients: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status. In one hour, a skilled interviewer can gather information on recent (past 30 days) and lifetime problems in all of the problem areas. The ASI provides an overview of problems related to substance, rather than focusing on any single area.
There is a multimedia version, the ASI-MV, that is administered electronically in a clinical setting instead of via interview.
SAMHSA Pocket Screening Tool for Older Adults is designed to help health care and social service providers identify signs of possible alcohol problems among older adults and, if necessary, refer for further evaluation. It consists of the AUDIT-C , CAGE and a short version of the MAST.