Screening and Assessment Instruments for SUD Flashcards

Which instrument uses a timeline follow-back (TLFB) methodology to assess alcohol and drug use over a specified retrospective period?

Answer: TLFB

The Timeline Follow-Back (TLFB) uses a calendar method to help clients retrospectively recall daily substance use patterns over a specified period.

The Addiction Severity Index (ASI) assesses problem severity across how many life domains?

Answer: 7

The ASI evaluates severity in 7 domains: medical, employment, alcohol, drug, legal, family/social, and psychiatric.

A client scores 16 on the AUDIT. What does this level indicate?

Answer: Alcohol dependence

AUDIT scores of 16–19 suggest high-level problem drinking, and scores ≥20 strongly suggest alcohol dependence.

Which SUD screening tool was specifically designed for use with adolescents and includes peer influence questions?

Answer: CRAFFT

The CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) was developed for adolescents aged 12–21 and includes a question about peer substance use.

In the context of the ASI, what does a composite score represent?

Answer: A 0–1 severity rating for each life domain

ASI composite scores are algorithmically derived 0–1 ratings reflecting problem severity within each domain at a given point in time.

Which brief screener asks four yes/no questions specifically about alcohol and is widely used in primary care settings?

Answer: CAGE

The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener) is a four-item alcohol screener commonly used in primary care.

The Substance Abuse Subtle Screening Inventory (SASSI) is distinctive among SUD screeners because it:

Answer: Includes subtle items that detect defensiveness

The SASSI includes subtle (non-face-valid) items designed to identify individuals who may be minimizing or denying substance use problems.