Number and Types of Questions
Sixteen questions 'yes' or 'no' questions regarding consumption, problem recognition, experience with adverse consequences (including symptoms, preoccupation, loss of control), feelings of guilt, family history, and awareness of past or present problem.
Adults and adolescents at risk of having an AOD abuse problem
Measurement scope intended to be limited to screening for potential problems, not establishing a diagnosis. Questions answered 'yes' are scored as '1.' A score of 0-1 indicates no to low risk of AOD abuse, 2-3 minimal risk, and greater than or equal to 4 moderate to high risk; possible need for further assessment.
Two forms are available, one for use in an interview setting, the other can be self-administered. Each takes no more than 10-15 minutes. Can be used by a diverse group of outreach workers, paraprofessionals and professionals in the fields of both AOD abuse and infectious diseases. The clinical decision for individuals who score positive on the instrument would be referred for a more comprehensive assessment or for a complete diagnostic evaluation.
Source or Publisher
Treatment Improvement Protocol (TIP) Series #11
U.S. Department of Health and Human Services, Public Health Service
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
Rockwall II, 5600 Fishers Lane
Rockville, MD 20857
State(s) Believed to be Using