CASAC Screening and Assessment Techniques 4 — Questions and Answers
Question 1: The Addiction Severity Index (ASI) covers how many problem areas in its composite scoring?
- 5
- 6
- 7 (Correct answer)
- 8
Correct answer: 7
The ASI assesses 7 domains: medical, employment/support, alcohol, drug, legal, family/social, and psychiatric.
Question 2: Which screening instrument is specifically designed to identify problem gambling that may co-occur with substance use disorders?
- MAST
- SOGS (Correct answer)
- CAGE
- DAST-10
Correct answer: SOGS
The South Oaks Gambling Screen (SOGS) is the most widely used validated tool for identifying problem gambling.
Question 3: During a mental status examination, 'affect' refers to:
- The client's reported emotional state
- The observable outward expression of emotion (Correct answer)
- The client's long-term mood pattern
- The cognitive interpretation of events
Correct answer: The observable outward expression of emotion
Affect is the outward, observable expression of emotion, whereas mood is the client's subjective internal experience.
Question 4: A client scores 16 on the AUDIT. According to WHO guidelines, this score indicates:
- Low-risk drinking
- Hazardous drinking
- Harmful drinking
- Alcohol dependence likely (Correct answer)
Correct answer: Alcohol dependence likely
AUDIT scores of 16–19 suggest alcohol dependence is likely, and scores ≥20 indicate probable dependence requiring referral.
Question 5: The CRAFFT screening tool is most appropriately used with which population?
- Older adults over 65
- Pregnant women
- Adolescents under 21 (Correct answer)
- Veterans with PTSD
Correct answer: Adolescents under 21
The CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) is validated specifically for screening adolescents for substance use risk.
Question 6: Which of the following best describes 'concurrent validity' in the context of assessment tools?
- The tool produces consistent results across different raters
- The tool predicts future outcomes accurately
- The tool correlates well with other established measures of the same construct (Correct answer)
- The tool measures what it theoretically claims to measure
Correct answer: The tool correlates well with other established measures of the same construct
Concurrent validity is established when a new measure correlates highly with a well-accepted existing measure of the same construct administered at the same time.
Question 7: In the DSM-5, a diagnosis of Alcohol Use Disorder requires meeting at least how many criteria within a 12-month period?
- 1
- 2 (Correct answer)
- 3
- 4
Correct answer: 2
DSM-5 requires at least 2 of 11 criteria within 12 months to diagnose Alcohol Use Disorder (mild=2-3, moderate=4-5, severe=6+).
CASAC Screening and Assessment Techniques 4
The Addiction Severity Index (ASI) covers how many problem areas in its composite scoring?