Sample Screening Instruments for Substance Use Disorders

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How to Know if Someone in Your Household Might Be Abusing Drug 

Exhibit 4-1 Sample Screening Instruments for Substance Use Disorders

The CAGE Questionnaire (amended for drug use) C Have you ever felt the need to Cut down on your drinking or drug use? A Have you ever felt Annoyed by people criticizing your drinking or drug use? G Have you ever felt bad or Guilty about your drinking or drug use? E Have you ever had a drink or used a drug first thing in the morning to steady your nerves or get rid of a hangover? (Eye-opener) Scoring: If the answer is "yes" to one or more questions, the responder should receive a formal alcohol and drug assessment. Answering "yes" to one or two questions may indicate alcohol and drug-related problems. Answering "yes" to three or four questions may indicate alcohol or drug dependence.83 UNCOPE U Have you spent more time drinking or Using than you intended? N Have you ever Neglected some of your usual responsibilities because of alcohol or drug use? C Have you ever felt you wanted or needed to Cut down on your drinking or drug use in the past year? O Has your family, a friend, or anyone else ever told you they Objected to your alcohol or drug use? P Have you found yourself thinking a lot about drinking or using? (Preoccupied) E Have you ever used alcohol or drugs to relieve Emotional discomfort, such as sadness, anger, or boredom? Scoring: Two or more positive responses indicate possible abuse or dependence and a need for further assessment by an SUD treatment provider.84

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