TOOLS

Download clinician tools to help you screen patients for substance use and deliver a brief intervention.

Pre-Screening Form

The pre-screening form should be administered to all adult patients. It rules out patients who are at low or no-risk using one pre-screening question for alcohol and one pre-screening question for drugs.

AUDIT

The Alcohol Use Disorders Identification Test (AUDIT) should be administered to adult patients who screen positive on the pre-screening for alcohol use. Side one contains the screening questions and side two contains instructions on scoring and interpreting the AUDIT.

DAST 10

The Drug Abuse Screen Test (DAST-10) was designed to provide a brief, self-report instrument for population screening, clinical case finding and treatment evaluation research. It can be used with adults and older youth.

The DAST-10 yields a quantitative index of the degree of consequences related to drug use. The instrument takes approximately 5 minutes to administer and may be given in either a self-report or interview format. The DAST-10 may be used in a variety of settings to provide a quick index of patient/client drug use issues.

The DAST-10 is a 10-item self-report instrument that has been condensed from the 28-item DAST. It was copyrighted in 1982 by Harvey Skinner, PhD and the Centre for Addiction and Mental Health, Toronto, Canada. To request permission to use the tool, please contact Dr. Harvey Skinner at hskinner@yorku.ca

THE CRAFFT 2.1

The CRAFFT questions are copyright protected by Boston Children’s Hospital; however, a goal of CABHRe is to make the CRAFFT widely available to qualified clinicians and researchers, and we welcome reproductions of this screening tool.

To learn more about conditions for using the CRAFFT screen in your work, refer to: https://crafft.org/get-the-crafft/

NIAAA Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide

This screening tool is intended for use with patients ages 9 to 18 and screens only for alcohol use.

BSTAD

The Brief Screener for Alcohol, Tobacco, and other Drugs (BSTAD) tool consists of frequency of use questions to identify risky substance use by adolescent patients ages 12-17. The accompanying resources assist clinicians in providing patient feedback and resources for follow-up.

S2BI

The Screening to Brief Intervention (S2BI) tool consists of frequency of use questions to categorize substance use by adolescent patients ages 12-17 into different risk categories. The accompanying resources assist clinicians in providing patient feedback and resources for follow-up.


SBIRT Provider Card

This pocket-sized SBIRT provider card is designed to fit in a lab coat pocket. Side one lists low-risk drinking limits, information on drink sizes, the risk zone pyramid, and a motivational interviewing ruler to assess the patient's readiness to change and confidence to achieve his or her goal. Side two provides information on placing patients into risk zones based on AUDIT/DAST scores, as well as how to describe risk zones to patients. It also lists the steps of the brief intervention and scripting to guide the clinician through the process and provides contact information for SAMHSA's Treatment Provider Locator.

SBIRT Provider Card (Spanish version)

This card is a Spanish version of the SBIRT Provider Card described above.

Pointers for Conducting a Referral to Treatment

This document provides helpful tips and example language to use when conducting a referral to treatment.

Prescription for Change

This tool is helpful during step 4 of the brief intervention (Negotiate Plan). You can use this form to write down the patient's goal and steps to achieve the goal, so he or she can leave the interaction with a "prescription for change."