Comprehensive Drug Use Screening and Assessment: NIDA-Modified ASSIST
{"Image DocumentName": "Comprehensive Drug Use Screening and Assessment: NIDA-Modified ASSIST", "Image ImageDescription": "Interactive online screening tool, includes tobacco, alcohol, prescription, and illicit drugs. Pre-screens patients for lifetime use. 4 questions about substance use in past 3 months; and. 2-3 follow-up questions for each substance used in lifetime. Generates a numeric Substance Involvement score that. suggests the level of medical intervention necessary. NMASSIST Clinicians Resource Guide, includes: Step by step instructions for screening tool. Scripts on how to discuss drug use with patients; and. Information on biological specimen screening, sample progress notes/ worksheets, additional resources, and links to treatment facility locators. ( May be deleted for one-hour version of presentation) The National Institute on Drug Abuse, part of the National Institutes of Health, adapted the well validated World Health Organization\u2019s Alcohol, Smoking and Substance Involvement Screening Test (ASSIST -- version 3) and created a very user friendly interactive screening tool designed for clinical practices. There is a lifetime pre-screening question to screen all patients, but only those with any use will be asked the follow-up questions. While this tool includes tobacco, alcohol, and 9 illicit and prescription drug categories, only those drugs that have been used will be carried through the subsequent questions\u2014thereby enabling the clinician to conduct a comprehensive screen in a relatively short amount of time. Following the lifetime question, patients will be asked: How often have you used in the past three months? There are then three followup questions asked for each substance the patient reported using in the past 3 months: How often have you had a strong desire or urge to use? How often has your use of [first drug, second drug, etc.] led to health, social, legal, or financial problems? How often have you failed to do what was normally expected of you because of your use of [first drug, second drug, etc]? The following 2-3 questions asked for each substance used in their lifetime: Has a friend or relative or anyone else ever expressed concern about your use of [first drug, second drug, etc.]? Have you ever tried and failed to control, cut down, or stop using [first drug, second drug, etc.]? Have you ever used any drug by injection? (nonmedical use only) Only if a patient has entered a drug that may be injected will they be asked the last question. Once the screening is complete, the tool generates a Substance Involvement (SI) score that tells you if a patient is high risk (score of 27 or greater); moderate risk (sore of 4-26); or lower risk (3 or less) for substance use disorders. The patient will receive an SI score for each substance endorsed, not a cumulative score. Therefore, the patient\u2019s risk level may differ from drug to drug. For each risk category, the NMASSIST provides suggestions on next steps. The tool doesn\u2019t collect any personally identifiable information and doesn\u2019t store responses. The tool and resources can be found on the website noted on this slide.  Daniel Alford, MD, MPH.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}