CAADC Screening and Assessment Instruments for SUD 4 — Questions and Answers
Question 1: Which instrument uses a timeline follow-back (TLFB) methodology to assess alcohol and drug use over a specified retrospective period?
- AUDIT
- TLFB (Correct answer)
- DAST-10
- SASSI-4
Correct answer: TLFB
The Timeline Follow-Back (TLFB) uses a calendar method to help clients retrospectively recall daily substance use patterns over a specified period.
Question 2: The Addiction Severity Index (ASI) assesses problem severity across how many life domains?
- 4
- 5
- 7 (Correct answer)
- 9
Correct answer: 7
The ASI evaluates severity in 7 domains: medical, employment, alcohol, drug, legal, family/social, and psychiatric.
Question 3: A client scores 16 on the AUDIT. What does this level indicate?
- Low-risk drinking
- Hazardous drinking
- Harmful drinking
- Alcohol dependence (Correct answer)
Correct answer: Alcohol dependence
AUDIT scores of 16–19 suggest high-level problem drinking, and scores ≥20 strongly suggest alcohol dependence.
Question 4: Which SUD screening tool was specifically designed for use with adolescents and includes peer influence questions?
- CAGE
- CRAFFT (Correct answer)
- AUDIT-C
- MAST
Correct 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.
Question 5: In the context of the ASI, what does a composite score represent?
- The number of DSM criteria met
- A 0–1 severity rating for each life domain (Correct answer)
- The client's readiness to change
- Total days of substance use in the past 30 days
Correct 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.
Question 6: Which brief screener asks four yes/no questions specifically about alcohol and is widely used in primary care settings?
- AUDIT
- CAGE (Correct answer)
- MAST
- DAST-10
Correct answer: CAGE
The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener) is a four-item alcohol screener commonly used in primary care.
Question 7: The Substance Abuse Subtle Screening Inventory (SASSI) is distinctive among SUD screeners because it:
- Requires a blood sample for accuracy
- Includes subtle items that detect defensiveness (Correct answer)
- Only screens for opioid use disorder
- Is administered exclusively by physicians
Correct 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.
CAADC Screening and Assessment Instruments for SUD 4
Which instrument uses a timeline follow-back (TLFB) methodology to assess alcohol and drug use over a specified retrospective period?